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Provider Finance Specialist



King of Prussia, Pennsylvania, US.



Sales and Related Occupations

Published on 2022-05-17 13:57


Researches and resolves escalated claims issues reported by contracted providers and facilities.
Works effectively with colleagues in Claims, Finance, Global Service Center, and Provider Relations to investigate and resolve issues.
Maintains caseload of escalated claim activity via Salesforce.
Prioritizes work appropriately according to guidelines.

Adds and updates facility bank details.
Builds and maintains relationships with contracted doctors and hospitals.
Collaborates with Provider Relations colleagues to provide additional training to contracted Providers and Facilities, as required.
Special projects such as trends analyses, creating training materials and procedure documents.
Other duties as assigned.


Bachelor’s degree minimum or equivalent professional work experience.
Fluency in one or more foreign languages, such as Spanish, Portuguese, or German (other languages will be considered).

Strong analytical, problem-solving and math skills.
Basic knowledge of international currencies.
Collaborative, self-starter.
Ability to work effectively with international providers and internal staff.
Ability to multi-task and prioritize work in a fast-paced environment under tight deadlines.

Extremely detail oriented.
International travel, study abroad or expatriate experience.
Knowledge of world geography and other cultures.
Familiarity with Microsoft office, especially Word and Excel.
Familiarity with Salesforce and SharePoint a plus.

Experience with databases a plus.
Required to have at minimum an internet speed of 75 Mbps (standard high-speed internet access).

Working Conditions:

Flexibility to work in an office and/or at-home, remote office environment.
Overtime and/or schedule flexibility are occasionally necessary in this position. May be required to attend key business/departmental meetings and/or perform certain business critical job functions outside of normal working hours.
Physical Demands: Must be able to communicate internally and externally through receiving and responding to auditory and visual methods.

This job description reflects management’s assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned.

Pay Grade: 5

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