Customer Service Rep - Senior

Adecco is currently assisting a local client in their search to fill a Customer Service Rep - Senior position, in Minneapolis, MN! This is a long term opportunity for the right person. If you would like to pursue a great opportunity and enjoy working for a fast paced company, then Apply Now if you meet the qualifications listed below!

Job Title: Associate Provider Specialist

The Provider Installation Representative is responsible for various activities related to the Provider Network database which may include: database maintenance, reporting and extracting data for various reports and analyses, and initiating database improvement. Provider Installation Representative develop and maintain standards for database integrity and quality assurance, coordinate corrective activities to clean database and retain users, and manage communication processes with other departments regarding database improvements. Other responsibilities include: conducting audits and providing feedback to reduce errors and improve processes and performance, maintaining current provider data to ensure the quality of the network, and may be responsible for representing the provider network area on company IT projects, reporting and tracking provider calls and complaints, or for the support, coordination, and production of the paper directory cycles.

Primary Responsibilities:
• Maintenance of all provider records within the health plan system(s). Includes: setup of demographic and specialty information, panel information (if applicable), line of business and fee schedule as instructed
• Assists in ensuring that Provider Directories and regulatory requirements are accurate and that errors are root caused and discussed at the global level to ensure appropriate corrections and improvements are made
• Data integrity and quality assurance
• Requests for new or updates to provider records must completed within business mandated service level agreements
• Other assignments and projects as requested
• Solve routine problems on own
• Work with supervisor to solve more complex problems

Required Qualifications:
• High School Diploma or GED
• 2+ years of Customer Service experience
• 1+ years of data entry experience
• Microsoft Excel proficiency (filter, sort, create and edit spreadsheets)
• Ability to type at least 50+ WPM
• 1+ years of previous experience in a healthcare setting particularly with managed care systems

Preferred:
• Knowledge of Medicaid / Medicare / Commercial rules and regulations
• Previous experience working in a production and quality environment
• Ability to utilize complex database systems and claims platforms simultaneously including, but not limited to OHBS and CSP Facets, COSMOS, and NDB

Required Soft Skills:
• Strong research, follow-up, documentation, and issue resolution skills
• Strong root cause analysis skills including the ability to take complex matters and format simplified key concepts to provide clear guidance to internal customers
• Multi-tasking and applying attention to detail
• Ability to work independently and as a team player
• Excellent written and verbal communication skills
• Solid analytical and problem-solving skills using reasoning and available resources to resolve issues
• Independently prioritize and organize own work to complete daily tasks within required business mandated time-frames
• Ability to think independently and is not afraid to ask questions with the goal of continuous improvement in mind
• Ability to effectively adapt and adjust to changing business needs

Standard business hours
Optum HQ Eden Prairie

In person interviews



Adecco provides one of the most comprehensive benefits packages in the industry to contract employees.

HOW TO APPLY:
Candidates interested in this Opportunity should apply IMMEDIATELY. DO NOT DELAY. Please click on the “Apply Now” button to fill out your application. If you have any questions, you can contact Kristin Kaiser at kristin.kaiser@adeccona.com

IMPORTANT INFORMATION:
This position is being recruited for by Adecco’s Service Delivery Center, not your local Adecco Branch Office. To be considered for this position, you must use the “apply now” button to submit your resume. If you have questions about the position, you may contact the recruiter recruiting for this position listed above, however your resume must be received via the “apply now” button included within to be considered.

The Adecco Group is a global leader in HR services. Our group connects over 700,000 associates with our business clients each day through our 6,600 offices in over 70 countries and territories around the world. We offer employment opportunities at any stage in your professional career. Contact us today to discuss available contract and direct hire positions. Adecco Group offers benefits including Holiday, 401(k), Insurance Benefit Plans and Service/Anniversary Bonus opportunities.

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

  • Apply with Adecco

Reference number US_EN_2_286200_409691