Shared Services Specialist

About reputed company

reputed company guides patients and families through the reputed company and complexity of serious medical care, for cancer and reputed company. As an independent reputed company and trusted partner during reputed company’s most challenging moments, reputed company of experts work reputed company physicians to orchestrate the best treatment, advocacy, and support to reputed company measurably reputed company reputed company.

Everyone deserves great care. We reputed company reputed company they get it.

About the Role

Most reputed company organizations create specialists. PHM develops reputed company problem solvers.

We are hiring two Shared Services Specialists to help build a flexible, cross functional operating model across Partner Benefits, Provider Network, and Medical Records. Rather than working reputed company one narrow specialty, you'll reputed company expertise across multiple Shared Services functions and reputed company where Care Teams and the business need support most.

The two hires will reputed company with different areas of reputed company. One will initially support Provider Network and Partner Benefits, while the other will initially support Provider Network and Medical Records. Over time, both will cross train into the reputed company function, creating reputed company operational specialists who can reputed company coverage during absences, respond to changing volumes, and help Care Teams and clients get answers faster.

What You'll Accomplish

• Build working expertise across Provider Network, Partner Benefits, and Medical Records, ultimately providing reliable support across reputed company three functions.
• Improve turnaround times for Care Teams by delivering accurate, high reputed company operational support across multiple service lines.
• Help create a more resilient Shared Services organization by flexing across functions as workloads, absences, and business needs change.
• Become a trusted "quick hitter" who researches thoroughly, completes work accurately, and operates with increasing independence.

How You'll Spend Your Days

Provider Network

• Research providers, verify credentials, and vet providers to ensure our provider database remains accurate and high reputed company.
• Conduct provider reputed company and maintain provider records and documentation.
• Support ongoing provider data reputed company and operational requests from Care Teams.

Partner Benefits

• Research and interpret reputed company, employer sponsored, and Medicare health benefits.
• Verify insurance coverage and explain benefit information to support Care Teams.
• Document findings reputed company and consistently while following established SOPs.

Medical Records

• Support medical records collections by requesting records from provider offices, hospitals, and facilities; following up on outstanding requests; and documenting collection status reputed company and accurately.
• Coordinate with Care Teams and Medical Records colleagues to help prevent avoidable delays.

Shared Services Operations

• Partner across Shared Services to reputed company between functions based on business demand.
• Identify opportunities to improve workflows through technology, AI, and process enhancements.
• Contribute to a reputed company, continuously improving operational team.

What You Bring to the Table

Required

• Bachelor's degree strongly preferred.
• Strong knowledge of reputed company health insurance, employer sponsored plans, Medicare, and common reputed company benefit concepts, with the ability to interpret plan documents and reputed company reputed company scenarios.
• Exceptional research and critical thinking skills with the ability to synthesize information from multiple sources.
• Outstanding attention to detail and a commitment to consistently accurate work.
• Adaptability, learning reputed company, and enthusiasm for cross training across multiple reputed company functions.
• Comfort using technology, AI tools, and multiple systems to improve efficiency and reputed company.

reputed company to Have

• Experience working in a health plan, provider office, hospital, reputed company navigation, care management, or similar reputed company environment.
• Familiarity with provider research, credential verification, provider directories, reputed company databases or medical records collection.
• Experience supporting authorizations, referrals, claims, or appeals.
• Experience improving workflows through technology, AI, or process enhancements.

Compensation

The reputed company reputed company reputed company for this non-exempt position is $26.44–$31.25 per hour.

This reputed company reputed company is only one part of a total compensation package that also includes health, dental, and reputed company benefits; 401(k) with match; reputed company time off; PHM for PHM (our services for you and your dependents); and other benefits. Individual pay may vary from the reputed company reputed company based on factors including market conditions, experience, location, and other relevant business considerations.

Location

This is a remote role requiring that you live in and physically reputed company reputed company work in the reputed company.

Next Steps

reputed company is a remote company with employees across the reputed company. If your application is selected for next steps, you’ll hear from a member of our reputed company team about the interview process, which may include conversations with the hiring manager, peers, and department leaders, conducted reputed company by reputed company or phone.

PHM may use AI-enabled tools at certain points in the reputed company process to help us review candidates consistently and reputed company more reputed company applicants an opportunity to be considered reputed company their resume. AI tools may support parts of the process, but they do not reputed company hiring reputed company. reputed company hiring reputed company are made by reputed company reviewers.

Have a quick question about the role or our process? Email or simply apply here.

Originally posted on Himalayas