Why This Role Stands Out
This hybrid role at WinMax Systems Corporation offers a fantastic opportunity to lead and mentor a team while developing expertise in producer contracting and compliance. You'll thrive here if you have a knack for detailed administrative work and enjoy problem-solving in a dynamic environment. Apply now to contribute to a reputable company and gain valuable experience.
Quick Overview
Salary
$20 - $22/hr
Seniority
Mid Senior
Work mode
Hybrid
Location
Alpharetta, GA, United States
Posted
6 days ago
ComplianceData EntryInternal Audit
Job Description
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."
Similar jobs
- AK
Senior Network IV&V Engineer
NewAkkodis
Herndon, VA🇺🇸$60 - $70/hrHybrid15 hours agoComplianceRoot Cause Analysis - UC
Border Patrol Agent
U.S. Customs and Border Protection
Essex, NY🇺🇸$51.6k - $124.7k/yrHybrid3 days agoLESS - CT
ATFM Analyst/Strategist
NewCGH Technologies, Inc.
Warrenton, Virginia🇺🇸$150k - $160k/yrHybrid1 hour agoContinuous ImprovementMicrosoft OfficeScheduling - AW
Delivery Consultant, WWPS ProServe
NewAmazon Web Services, Inc.
Virginia🇺🇸$131.6k/yrHybrid1 hour agoDockerRubySwift+10 - AW
Senior Delivery Consultant - Emerging Tech, WWPS ProServe
NewAmazon Web Services, Inc.
Virginia🇺🇸$153.8k/yrHybrid1 hour agoDockerAWSCustomer Success+5 - UC
CBP Officer – Up to $60K in Incentives
NewU.S. Customs and Border Protection
Charlotte, VT🇺🇸$41.9k - $127.5k/yrHybridYesterdayCompliance - B&
Electrical Engineer - Data Centers
Black & Veatch
Overland Park, KS🇺🇸$114.9k - $230.3k/yrHybrid3 months agoAutoCADBIMBusiness Development+8 - CC
Network Analyst
NewConfidential Company
Wayne, NJ🇺🇸Hybrid15 hours ago - AC
Epic Clarity / Tapestry Clinical Informatics Specialist ** 100% Remote **
NewAmerit Consulting
United States🇺🇸Remote15 hours agoOracleSQLSQL Server+2 - KG
Senior Specialist - Geoscience Data
Kinross Gold Corporation
Reno, NV🇺🇸Hybrid3 weeks agoSQLT-SQLDocument Management+3 - CF
Pavement Inspector (Mid)
NewCherokee Federal
Joint Base Pearl Harbor-Hickam, HI🇺🇸$70k/yrOn-site15 hours agoCompensation & BenefitsComplianceConcrete+1 - SA
NDT Inspector I
NewSafran
Marysville, WA🇺🇸Hybrid15 hours agoERPMicrosoft OfficeReact