Kforce Provider Services Associate in Saint Louis, Missouri

Kforce has a client in search of a Provider Services Associate in Saint Louis, Missouri (MO).Essential Functions:

  • Candidate will be completing forms for obtaining gov't security clearance as well as placing outbound calls

  • Investigates written/verbal complaints involving authorizations, and resolves complex issues with Customers and Providers

  • Works with client specialists to assure that information in work flows is accurate and current, and that process flows meet customer needs

  • Educates Providers on system or process changes to support efficiency initiatives

  • Supports Appeals triage and claims appeals

  • Observes and tracks authorization problem trends and works with internal department for resolution

  • Assists with User Acceptance Testing (UAT) for designated Customer changes

  • Assists with silent monitoring or quality audits upon request

  • Participates in quality improvement initiatives and new product implementations

  • Backs up inbound/outbound queues when needed

  • May provide coverage for others as needed

  • Assume responsibility for self-development and career progression

  • Proactively seeks and participates in ongoing training

  • Other duties as assigned

  • Candidates need sufficient computer literacy (Excel), and ability/willingness to complete forms and documents

  • Proficiency in Microsoft Office, particularly Excel

  • Potential temp to hire (not certain)

Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.Compensation Type:Hours