Insurance Coordinator

Responsibilities:

Drafting contracts with network providers and obtaining approvals from all key stakeholders, Storing documents in proper system

Onboarding all new providers (system setups, SPP , PBM)

Provider price/tariff revisions

Provider updates on the system regarding bank, license, clinician, networks details, etc.

Managing the e-mails in the network mailbox/ticketing tool

Updating the network list on monthly basis and share the same with internal stakeholders & keeping provider locator up to date in Client Website

Mass communication to all providers when required

Manage network complaints to improve customer experience when necessary, making outbound calls, receiving calls from providers

Preparing documents for SOP, process maps, manuals

Identifying system gaps, performance issues and requesting system enhancement/ bug fixing to improve efficiency

Performing system UATs

Joining meetings, representing the department

Preparing monthly Steerco presentations, calculating TAT, SLA related to department

Supporting TPA processes related to provider coding