Common Spirit-posted 2 months ago
Bakersfield, CA
Water Transportation

The Provider Data Analyst is responsible for the maintenance of the DHMSO Provider Data Network within EZCAP. The maintenance includes creating new provider records, updating existing provider records, and working with the Contracting and Credentialing teams as needed when questions arise. The Provider Data Analyst partners with Configuration Claims and Enrollment to ensure end to end accuracy to pay claims accurately and timely.

  • Maintain the DHMSO Provider Data Network within EZCAP.
  • Create new provider records.
  • Update existing provider records.
  • Collaborate with Contracting and Credentialing teams as needed.
  • Partner with Configuration Claims and Enrollment to ensure accuracy in claims processing.
  • Minimum of 3 years experience managing provider data and working in EZCAP.
  • Proven ability to work with other business functions.
  • Working knowledge of DHPR and CMS rules for Claim Submission, Claim Payment, Eligibility, Appeals for Commercial, MediCare and MediCal lines of business.
  • Bachelor's Degree or equivalent experience.
  • Competitive pay with a flexible Health & Welfare benefits package.
  • Cafeteria-style benefit program with options for medical, dental, and vision plans.
  • Health Spending Account (HSA).
  • Life Insurance and Long Term Disability.
  • 401k retirement plan with a generous employer-match.
  • Paid Time Off and Sick Leave.
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