What are the responsibilities and job description for the Senior Producer Contracting Specialist position at WinMax Systems Corporation?
Senior Producer Contracting Specialist
Alpharetta, GA (Hybrid)
12 months Contract
Schedule is Monday-Friday from 8:00am-4:45 pm est
JOB SUMMARY
The Senior Producer Contracting Specialist will be responsible for supporting the administrative responsibilities for the department including producer credentialing and recredentialing, producer contracting and agreements. The senior specialist will function as a team lead, providing direction, training and leadership to the producer credentialing specialists as necessary. The senior specialist will assist with research, follow-up and escalation of issues and play a key role in building and maintaining the credentialing processes and procedures in compliance with state and federal mandates.
ESSENTIAL DUTIES
- Reconciles and prepares payment request approval forms for Department of Insurance (DOI) and appointment invoices.
- Manages and resolves outstanding appointment and agent fee agreements.
- Researches and resolves complex or sensitive producer appointments and contracting inquiries.
- Maintains departmental mailboxes and assigns or responds to producer inquiries within time constraints.
- Prepares departmental reports related to appointments, agent fee agreements and renewals.
- Maintains and updates departmental policies and procedures as it relates to credentialing, recredentialing and contracting and other supporting documentation such as: appointment grids, fee charts and external website login information in compliance with state and federal mandates.
- Functions as a team lead and provides direct support to producer credentialing specialists and trains them on credentialing and contracting activities such as: appointments, agent fee agreements, invoices and renewals.
- Assists appointments and agent fee agreement teams during peak period. Manages producer appointments and applications for partners.
- Assists with DOI and external/internal audit requests by compiling and validating information.
- Performs other miscellaneous duties and special projects assigned by management.
- Participates in system maintenance and upgrade testing.
- This list is not all-inclusive and you are expected to perform other duties as requested or assigned
QUALIFICATIONS
- Minimum Education and Experience
- 3 years of experience w/High School
- Additional Experience and Education
- Insurance and/or healthcare experience is preferred.
- Knowledge, Skills, and Abilities
- Proven commitment to excellence in customer service.
- Strong attention to detail and accuracy when completing data entry.
- Strong analytical, problem solving and reasoning skills.
- Proficient in Microsoft applications such as: Excel (Intermediate), Word, Outlook, SharePoint, Teams.
- Ability to prioritize work, follow-up on commitments on a timely basis, work under pressure and adhere to deadlines.
- Ability to work independently while having strong teaming skills.
- Ability to communicate professionally, clearly and effectively with producers, management, staff and other business partners.
- Knowledge of policies, procedures, and guidelines.
- Ability to maintain confidentiality
Pay Transparency: "The expected pay range for this position is $20.00–$22.00 per hour. Final compensation will be determined based on experience, skills, and qualifications. Non-exempt employees are eligible for overtime. Full-time employees are eligible to select from different benefits packages. Packages may include medical, 401(k) without employer match. Paid Sick leave is provided based on state or local laws."
Salary : $20 - $22