• Provider Services Specialist

    Job Locations US-WI-Onalaska
    ID
    2019-1101
    Category
    Provider Relations
    Type
    Regular Full-Time
  • Overview

    Quartz is seeking a health insurance professional with claims experience to join our organization as a Provider Services Specialist. This role assists the department with configuration and maintenance of provider records based on claim, communication and verification documentation.

    Responsibilities

    • Process claims, manage department inventory and configure provider records as needed
    • Assist with building and maintaining provider information as it relates to claim pends or provider communications
    • Adhere to principles of continuous quality improvement to ensure accurate and timely provider configuration
    • Conduct query requests and perform quarterly comparison analyses to ensure accurate information is populated into internal systems and computer applications
    • Validate provider eligibility and communicate status changes to members and internal stakeholders
    • Perform other duties as assigned and necessary

    Qualifications

    • At least 1-2 years of experience processing health claims
    • Health and/or medical billing experience is preferred
    • Strong analytical skills, with the ability to solve complex problems
    • Excellent oral and written communication skills
    • Intermediate knowledge of personal software applications, including Microsoft Excel, Word & Outlook
    • Ability to work independently

    Bilingual applicants encouraged to apply!

     

    Applicants will work full-time from our Onalaska, WI officeWe offer excellent benefit and competitive compensation, opportunity for professional growth and a professional culture built on the foundations of Respect, Responsibility and Relationships.

     

    Quartz values and embraces diversity and is proud to be an Equal Employment Opportunity, Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

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