Kelly Services IT Analyst in Franklin, Tennessee
Please do not apply without checking the commute distance and hourly pay*
W2 Contract for 6 Months
Position : Sr. Data Provider
Location : Franklin, TN
Hourly pay : $16
HOURS OF OPERATION: This position is responsible for incoming telephonic customer service and support handling provider inquiries, questions and complaints.
DUTIES AND RESPONSIBILITIES
Responds to provider inquiries, concerns, complaints, appeals and grievances.
Initiates and maintains effective channels of communication with providers and related office staff.
Monitors and track service issues and inquiries and assists with the identification of educational opportunities/programs to improve overall services to the provider network.
Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated and sensitive issues.
Demonstrates knowledge of Providers in assigned geographic area. Understands interrelationships among providers in local market.
Manage appropriate physician correspondence.
Respond to provider inquiries and instructions regarding provider data in CIGNA systems. Coordinate these provider interactions with Provider Relations Representatives and Matrix Partners as necessary.
Manages the batching and Credentialing Required Adds into theNewtonworkflow application.
Coordination and handling of physician orientations for new and existing providers (mailing out provider orientation packages, scheduling provider appointments for conference call, confirming appointments via phone).
Provides continuing education of providers via phone on claim submission, claim resubmission and use of provider website and customer service on the statusing of outstanding claims and electronic submission.
Initiates and maintains effective channels of communication with matrix partners, particularly with provider services staff in the field.
Minimum of 2 years managed healthcare experience
Previous customer service experience required.
Ability to use PC software and multiple CIGNA systems
Ability to problem solve
Previous claim, coding, billing experience preferred
General product(s) and customer knowledge
Solid oral and written communication skills
Excellent influencing and executive presentation skills.
Team player with proven ability to develop strong working relationships within a matrix organization.
Technical/Functional expertise: Customer Service, Provider Services
Why Kelly ® ?
With Kelly, you’ll have direct connections to leading IT organizations in the best companies around
the globe—offering you the chance to work on some of today’s most intriguing, innovative and high-
visibility projects. In a field where change is the only constant, our connections and opportunities
will help you take your career exactly where you want to go. We work with 95 of the Fortune 100™
companies, and more than 3,000 IT hiring managers turn to us each year to access the best talent:
people like you.
Last year we found 8,000 opportunities for IT professionals. Let us help advance your career
AboutKelly Services ®
As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 people around the world and have a role in connecting thousands more with work through our global network of talent suppliers and partners. Revenue in 2017 was $5.4 billion. Visit kellyservices.com and connect with us on Facebook, LinkedIn and Twitter .
Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females,
Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is
committed to employing a diverse workforce. Equal Employment Opportunity
is The Law.