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Provider Network Coordinator

Company: Sedgwick
Location: Jefferson City
Posted on: January 16, 2023

Job Description:

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.Great Place to Work -Most Loved Workplace -Forbes Best-in-State EmployerProvider Network Coordinator**Primary Purpose**The primary purpose of the Provider Network Coordinator is to act as a liaison between the Sedgwick Contract and Credentialing teams and respond to inquiries from the provider networks.**Essential Functions and Responsibilities**+ Respond to inquiries sent from internal and external contacts to the group's email box.+ Respond to requests to add new providers using the standard template which instructs providers as to the documents needed and updates required for consideration in joining the Sedgwick networks.+ Distribute requests to add new providers from existing groups and from Network Development to the Credentialing team members.+ Follow-up with providers to request specific information and/or documentation as required and instructed by Credentialing or Network Development.+ Send credentialing approval letters to providers following the committee meeting held monthly.+ Send executed agreements and onboarding materials to provider groups after approval.+ Locate and distribute executed agreements as requested by internal and external customers to approved recipients, including, approved internal colleagues and approved agents of the provider groups.+ Obtain primary source documentation for internal Sedgwick Managed Care clinical personnel as instructed.+ Maintain provider files with the most updated documentation received to the group email boxes.+ Maintain provider information as required in the credentialing system.+ Submit monthly termination and newly approved practitioner and group reports to Data Management.+ Assist with projects involving Credentialing and Contracting and act as the project coordinator for the group as needed.+ Attend monthly Credentialing Committee meeting and document notes from the meeting.+ Each month, assist in the creation and distribution of the agenda and other materials to members of the Credentialing Committee, prior to the regular meeting.**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**+ Other duties as assigned+ Supports the organization's quality program(s).**EDUCATION & LICENSING**+ Bachelor's degree from an accredited college or university or two-years experience with provider networks and/or credentialing.**EXPERIENCE**+ Two (2) years of related experience or equivalent combination of education and experience required to include three (1) years of customer service and/or one (1) year of analytical experience. Managed Care experience preferred.**SKILLS & KNOWLEDGE**+ Excellent oral and written communication, including presentation skills+ PC literate, including Microsoft Office products+ Analytical and interpretive skills+ Strong organizational skills+ Excellent interpersonal skills+ Ability to work independently+ Ability to meet or exceed Performance Competencies**WORK ENVIRONMENT**When applicable and appropriate, consideration will be given to reasonable accommodations.Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlinesPhysical: Computer keyboarding, travel as requiredAuditory/Visual: Hearing, vision and talkingThe statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.\#networkcoordinator #providernetworkcoordinatorSedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.****Taking care of people is at the heart of everything we do. Caring counts**Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing - one where caring counts. Watch this video to learn more about us. (https://www.youtube.com/watch?v=ywxedjBGSfA)

Keywords: Sedgwick, Jefferson City , Provider Network Coordinator, Other , Jefferson City, Missouri

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