Location: US-NY-Albany

Job Number: 17202521

We at CTG Inc., are presently seeking web base Provider Relations Support Specialist I for a job position based out at Albany, NY with one of our prestigious Clients. If this position interests you I urge you to email me your updated resumes with below info and the best time to reach you.

Please feel free to call me (Sridhar Vase) at 800-992-5350 ext 4990 if you need more information.

Position: Provider Relations Support Specialist I

Location: Albany, NY - 12205

Duration: 12 months

The Provider Relations Support Specialist I is responsible for support activities for the Provider Relations department including documentation support, refund analysis, linking and/or quality review. Ensure production and quality standards are met.

Required Function 2:

Specializes in one or more of the Provider Relations support functions -- documentation support, refunds, linking or quality review. Documentation Support Provides timely response and resolution of all provider initiated responses and issues related to a notice of intent (NOI) disallowance.Reviews provider documentation to determine validity of claim for disallowance. Refunds Processes refunds to providers recouped in error.Contacts providers to obtain any necessary documentation to process refund.Interact with Program Directors to ensure funds are appropriated correctly. Linking. Receives and distributes mail for Provider Relations. Links all supporting documentation received to appropriate record. Routes faxes to appropriate department as needed. Quality Review. Reviews accuracy of all outgoing documentation (mail and faxes) from the Provider Relations department. Provides coaching and guidance to representatives to improve error rate.

Required Function 3:

Takes overflow inbound phone calls.

Required Function 4:

Provides back up support to other support function areas

Required Function 5:

Provide support on special projects including training, process improvement, etc.

Additional Job Requirement 1:

High School Diploma or GED required

Additional Job Requirement 2:

6 months Provider Relations Representative II experience

Additional Job Requirement 3:

Ability to work proficiently with Microsoft Word. Average manual dexterity in use of a PC, phone, sorting, filing and other office machines. Ability to multi-task and prioritize. Ability to be careful and thorough about detail. Working knowledge of HIPAA privacy and Security rules. Ability to perform oral presentations with good quality. Ability to analyze information and use logic and process to address work-related issues and problems. Ability to organize well. Ability to demonstrate a customer service orientation.

If interested, please immediately apply online to this requisition. For additional information please call the recruiter, Sridhar Vase - 800 - 992 - 5350 EXT 4990 /sridhar.vase@ctg.com


CTG is the most reliable IT services provider, built on 50 years of meeting our commitments to make technology work for clients and deliver real business value. CTG provides industry-specific IT strategy, services, and solutions that address the business needs and staffing challenges of clients in high-growth industries, including major technology companies, large corporations, and government entities located in North America and Western Europe.

CTG's greatest asset is its people, and as such we are committed to providing employees programs and processes to support their performance, hone their skills, and advance in their careers. This commitment is reflected by CTG being named a Best Places to Work Company by Modern Healthcare (since 2013) in North America, and a Best Places to Work Company in the United Kingdom (2013), Belgium (since 2007), and Luxembourg (since 2011).

CTG will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of all applicable local, state, and federal laws.

CTG is an Equal Opportunity/Affirmative Action Employer and strong advocate of workforce diversity. Minority/Female/Sexual Orientation/Gender Identity/Disability/Veteran.

Job: Technology & Healthcare IT