Provider Network Relations Quality Specialist

Posted 11 Days Ago
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Cape Canaveral, FL
Entry level
Artificial Intelligence • Cloud • Healthtech • Information Technology • Software • Cybersecurity
The Role
The Provider Network Relations Quality Specialist maintains facility records, reviews provider requests, supports credentialing, and ensures data accuracy in the provider network.
Summary Generated by Built In

Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career!

Please be aware of employment scams where hackers pose as legitimate companies and recruiters to obtain personal information from job seekers. Please be vigilant and verify the authenticity of any job offers or communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of the recruitment process. If you suspect fraudulent activity, contact us directly through our official channels. Stay safe and protect your personal information.

The Provider Network Relations Quality Specialist is responsible for maintaining all facility records within Acuity’s worldwide provider network. The Quality Specialist will work in alignment with Acuity’s overall mission, values, and strategic plan. Strong documentation, interpretation, and follow-up are essential activities of this position. Daily interactions will include phone calls and email correspondence to facility staff members, and internal Acuity employees.

  • Review, research, and respond to provider network requests submitted through the Provider Information Network System (PINS) ticketing system.
  • Act as a liaison for invoice inquiries.
  • Follow protocol to aid Credentialing with the annual rostering of Acuity’s network providers.
  • Professionally interact with all Provider Network departments in support of the medical examination line of business, and the maintenance of relationships with providers.
  • Support Business Development by pulling network coverage reports and creating maps of our network based on client locations.
  • Ensure ongoing provider network data accuracy through regular reconciliation of the Provider Information Network Systems (PINS)
  • Participate in discussions to identify and offer potential solutions to complex issues.
  • Prioritize and pivot with ease as directed by management when new tasks are assigned.
  • Apply basic knowledge of de-escalation techniques to ensure provider satisfaction.  

Work is normally performed in a typical interior/office work environment.

Work involves sitting and standing for prolonged periods of time.

Acuity International is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration without regard to race, color, sex, national origin, age, protected veteran status, or disability status.

For OFCCP compliance, the taxable entity associated with this job posting is:

Acuity-CHS, LLC

Top Skills

Provider Information Network System (Pins)
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The Company
HQ: Reston, VA
597 Employees
On-site Workplace

What We Do

Acuity International, headquartered in Reston, Virginia, provides process and technology-based critical services to global government and commercial enterprises. With expertise in a range of engineering and consulting, software solutions, medical care, occupational health, global mission, environmental remediation, and secure and complex construction management services, augmented by deep expertise in cybersecurity, artificial intelligence, and cloud solutions, Acuity International is positioned to assist its customers in their critical missions anywhere in the world with the latest technology and repeatable processes.

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