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Company: Prime Health Service Inc
Location: Franklin
Posted on: March 17, 2023

Job Description:

Description: The Receptionist reports to the Chief Operations Officer and serves in a multifunctional role providing clerical support across several operational departments as listed below. The Receptionist requires a strong customer focus, attention to detail/accuracy, time management, and flexibility. The Receptionist plays an integral role in ensuring quality service delivery to both internal and external customers. Essential Job Functions NOTE: the receptionist may be assigned to perform the duties of any or all of the following functions in addition to other duties as assigned:

  • Receptionist: Greets visitors, vendors, clients, etc.; orders and stocks office, cleaning, toiletry, and coffee supplies; maintains/cleans break areas - coffee machines, refrigerators, microwaves, oven, and sink/counters; answers main company phone, routes calls, and distributes incoming faxes/mail and/or packages; orders meals for scheduled vendor/client meetings and ensures conference rooms and are set up/clean
  • Data Integrtiy: Calls 125+ provider offices per day and researches via internet to verify/obtain their accurate demographics and updates PHS database with changes; monitor and respond to emails from providers with demographic updates and make changes in the PHS database; answers questions and/or routes provider/office staff questions to appropriate staff/management
  • Panel Building: Receives, logs, builds, and maintains accurate medical provider panels (worksite posters) for PHS workers compensation clients; confirms, validates, and updates provider, facility, and hospital demographics; completes and logs all Client requests
  • Medical Access Associate (MAA): Locates participating California Medical Provider Network (MPN) providers for injured workers of PHS Clients; coordinates with the injured workers adjusters / nurse case managers to schedule appointments for the injured workers; includes faxing paperwork, confirming appointments, and communicating details to the requesting party; understands regulations of California MPN and tracks all physician appointments in Phoenix; responds within 24 hours to all calls, faxes, or messages; works with Data Integrity to update provider demographics and with Provider Relations regarding providers who are no longer accepting Workers Compensation patients
  • Data Quality Analyst: Ensures that audits, processes, and projects are current and completed accurately and timely; performs audits (Client contracts and partner networks) to ensure adherence with stated goals, objectives, and data validation requests; identifies utilization /savings trends; and communicates audit results effectively to all levels of management
  • Data/Contract Entry: Enters the demographic and reimbursement information from provider contracts, scans, files, and completes minor reporting analysis; ensures welcome packets are sent to providers joining the PHS network; assists with outgoing mail campaigns; and assists with priority roster loads Requirements: Education and Experience
  • Must possess a High School Diploma or GED; an Associates or Bachelors Degree in Business or related field of study from an accredited college or university is preferred
  • 2 years of receptionist / customer service work experience in a health care related environment
  • Demonstrated proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) Competencies
    • Ability to function effectively in a deadline driven environment
    • Excellent communication skills (written and oral) and the ability to effectively, concisely, and logically exchange information
    • Organized, detailed focused, and ability to multitask
    • Demonstrate tact, diplomacy, and confidentiality when dealing with others and managing sensitive issues Physical Requirements This is a sedentary role, however while performing the duties of this job, the employee is regularly required to talk or hear and is frequently required to sit, stand, walk, use hands to finger, handle or feel; and reach with hands and arms. Some light lifting may be required (i.e., the ability to lift files, open filing cabinets and bending or standing on a stool as necessary). Who We Are Prime Health Services is a national medical cost containment company offering a PPO network to the workers compensation, group health, corrections, and auto liability markets. Our preferred provider network has been expanding since 2001 and now has over 800,000 medical providers and health care facilities nationwide with over 900,000 locations. The Prime Health Services PPO Network is available to insurance carriers, third-party administrators (TPAs), self-insured employers, governmental entities, corporations, and associations. We look for candidates who build a culture of teamwork and positive results. To be successful at Prime, you need to be forward-thinking, have an innovative spirit, be empowered to do your job well, act collaboratively, and be reliable. Were a company on the move and strive for excellence in everything we do! If this sounds like you, please submit your application today or pass this along to anyone who is searching for their next role with a growing company. PM21 PI208078194

Keywords: Prime Health Service Inc, Franklin , Receptionist, Other , Franklin, Tennessee

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