Provider Administrator

Under direct supervision, work within and across department teams to manage provider and office staff service requests, resolve business partner questions/issues, and provide call handling/routing to provider support line. Support provider management activities associated with provider data maintenance, credentialing activities, directory management, and intake requests.

Research, resolve, document, and accurately respond to provider, practice, business partner or administrator inquiries and service requests

Communicate and coordinate with providers, practices, and other departments to ensure accurate information is available to support business needs

Manage the Committee meetings set up, document Committee findings in the formal meeting minutes, and notify staff of Committee decisions

Monitor and maintain critical provider information in various systems. Review team member quality assurance reports on a regular basis and work with leadership to prepare follow-up documentation

Act as first-level intake and triage for incoming provider call line, data clean-up efforts, and specified team email box requests

Support the client and regulatory audit process to include pulling required documentation and review of provider files for accuracy

Gain industry knowledge to support internal and external business partner relationships

Support the re-credentialing process and audit support functions to NCQA and client standards

Ensure requested information is delivered within specified timeframe and completed accurately

Maintain high standards in all written or verbal communications with providers

Job Specifications

Typically Has The Following Skills Or Abilities

Two to four years of general office experience

Proficient with word and spreadsheet applications

Ability to read and write at a level necessary to accomplish the above tasks

Demonstrated ability to identify problems and provide creative solutions

Strong attention to detail, organizational skills and problem solving skills

Excellent written and verbal communication skills

Ability to work independently and in a team environment

Preferred Skills

Attention to detail

Compensation range for the role is listed below. Applicable salary ranges may differ across markets. Actual pay will be determined based on experience and other job-related factors permitted by law. As a part of the compensation package, this role may include eligible bonuses and commissions. For more information regarding VSP Vision benefits, please click here.

Salary Ranges: $17.00 - $27.50

VSP Vision is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to age, gender, race, color, religion, sex, national origin, gender identity, sexual orientation, disability or protected veteran status. We maintain a drug-free workplace and perform pre-employment substance abuse testing.

Notice to Candidates: Fraud Alert - Fake Job Opportunity Solicitations Used to Collect Fees/Personal Information.

We have been made aware that fake job opportunities are being offered by individuals posing as VSP Vision and affiliate recruiters. Click here to learn about our application process and what to watch for regarding false job opportunities.

As a regular part of doing business, VSP Vision (“VSP”) collects many different types of personal information, including protected health information, about our audiences, including members, doctors, clients, brokers, business partners, and employees.  VSP Vision employees will have access to this sensitive personal information and are subject to follow Information Security and Privacy Policies.