Network Operations Coordinator I (Healthcare)

Location: Richardson, Texas, United States; flex work with a minimum of three days per week in the office.

Base pay: $40,500–$72,500 annually. An annual incentive bonus plan may apply.

Company

hirify.global provides health insurance and related healthcare services.

What you will do

• Administer professional provider contracts, rosters, credentialing, and provider data requests across all lines of business.
• Maintain accurate and timely provider data supporting marketing, membership, network contracting, and quality initiatives.
• Participate in internal provider meetings and work groups.
• Research issues involving provider credentialing, data accuracy, and network participation.
• Coordinate as a liaison between Network Contracting and Provider Data Management on credentialing and network activities.

Requirements

• Two years of college or two years of experience.
• Written and verbal communication skills for interacting with internal and external customers.
• Analytical and quantitative skills.
• Ability to take initiative and work independently.

Nice to have

• Experience working directly with healthcare providers and provider offices to obtain information, resolve issues, and support business operations.
• One year of experience with Premier Provider Data systems.
• Knowledge of professional provider credentialing processes.
• Experience supporting ACA Risk Adjustment Data Validation activities, medical record retrieval, audit support, or related initiatives.
• Claims processing, claims research, or claims resolution experience in a healthcare or health plan environment.
• Strong investigative and problem-solving skills, including researching discrepancies, gathering information, and driving issues to resolution.
• Experience in a high-volume call center or customer service environment, preferably handling provider- or claims-related inquiries.
• Ability to independently manage a high-volume workload with minimal supervision.

Culture & Benefits

• Flex workplace with at least three office days per week; management may modify schedules for exigent circumstances.
• Professional development plans and career growth support.
• Health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, and paid holidays.
• Employee assistance program, tuition reimbursement, and other incentives.
• Employment may be contingent on successful completion of drug screening.