Network Coordinator
One Call

Network Coordinator

We're looking for colleagues who are ready to Think Big, Go Fast, Deliver Awe, and Win Together. These core values embody our diverse and inclusive culture and help us live out our mission of "getting people the care they need when they need it." Over the last 30 years, our company has established itself as the market leader in managed care for the workers' compensation industry. We are committed to making a positive impact in the lives of the injured workers we serve, and we have fun doing it.

Salary Range: 17.75 - 26.70 Hourly

This compensation range takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At One Call, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is 17.75 - 26.70 Hourly

Benefits Summary:
In return for your commitment to our company's mission, we offer a vast array of benefits to help support the whole you.

• Opportunities to work from home
• Competitive wages with opportunities to earn annual merit increases
• Paid development hours to use for professional and community development!
• Generous paid time off, 8 company holidays, and 2 personal days per year
• $1,000 Colleague Referral Program
• Enterprise Recognition Program rewarding colleagues for their extraordinary work
• Exclusive discounts on travel, activities, and merchandise via work discount program
• Colleague Assistance Program that provides free counseling and financial services
• Tuition Reimbursement Program including certifications
• Quantum Health: A healthcare navigation platform to help our colleagues make the best, most cost-effective healthcare decisions
• Medical, dental, and vision insurance
• Pre-Tax FSA and HSA health savings accounts
• 401(k) matching
• Company paid life insurance
• Company paid short term and long-term disability
• Referral program
• Healthcare concierge
• The One Call Foundation which aims to help colleagues during unexpected emergencies, from car accidents to natural disasters.

JOB SUMMARY:
The Network Operations Coordinator is responsible for completing assigned tasks to build and maintain medical provider network (MPN) as part of the Harbor Health Systems Network Operations Team.

GENERAL DUTIES & RESPONSIBILITIES:

• Maintains Medical Provider Networks (MPNs), ensure network database integrity and responsible for cleaning and maintaining provider databases.

• Coordinates the integration and updates of vendor network files into unique MPNs that meet organizational participation criteria and client specifications.

• Maintains MPN specific provider inclusion and exclusions to assure the network composition reflects company specified guidelines and client requests

• Audits assigned MPN data to assure accuracy

• Performs provider data verifications, including telephonic contact with providers to validate required data elements.

• Responds to internal and external requests for reports and information in a timely fashion.

• Acts as an operational resource and as point of contact for network partners.

• Requests, creates, and verifies reports that meet specifications and user requested timeframes.

EDUCATIONAL AND EXPERIENCE REQUIREMENTS:

• High School diploma

• Minimum one (1) year of experience or equivalent college degree, in managing data, data entry, or general office/clerical functions
GENERAL KNOWLEDGE, SKILLS & ABILITIES:

• Strong competency in Microsoft Office (Excel, Word, Outlook, PowerPoint)

• Demonstrated experience in building and maintaining spreadsheets

• Strong attention to detail

• Solid organizational skills with the ability to multi-task

• Possess excellent oral and written communication skills

• Ability to work well as part of a team

PHYSICAL/EMOTIONAL DEMANDS & WORK ENVIRONMENT:

• For roles located in office or home settings; this job is primarily sedentary and may involve repetitive motions; the employee is regularly required to sit, use hands and fingers, speak, and hear.

• For roles located in the field; this job is primarily active; the employee is regularly mobile and must be able to utilize transportation (such as driving), sit, use hands and fingers, speak, and hear.

• The employee is occasionally required to stand, walk, and lift objects (up to 10lbs weight; up to 4 ft. height).

• Specific vision abilities required by this job include ability to see things from a close distance and ability to adjust focus

• The work environment utilizes florescent lighting; noise level is moderate.

• The emotional demand of the job may cause undue stress from, but not limited to, moderate/heavy workload.

• Reasonable accommodations will be individually assessed and possibly made to enable individuals with disabilities to perform the essential functions of the position.

• Please be advised this job description is subject to change at any time.

This job has expired.