Provider Data Management Analyst 1 - 111458
About The Position
Position Purpose: Perform provider data management related activities based on plan and contract specifications and standard business rules - includes data analysis and entry review of data via internet sites and other systems and usage of multiple systems and applications to validate data is complete and accurate. Day To Day Tasks! - Enroll providers and practitioners into the provider data management system - Update provider and practitioners with claims payment and directory information - Research review and make updates within the provider data management system per provider requests - Perform quality service checks on systemic data inclusive of claims processing and provider directory information - Perform research and resolve problems as necessary
Requirements
- Associates degree or high school diploma/equivalent and 1 years of data entry analysis or customer service experience preferably with healthcare operations i.e. claims processing billing provider relations or contracting provider data management or credentialing in a managed care insurance or medical office environment.
- Experience performing data analysis in Excel or similar tools strongly preferred.
- Remote- any state but must be able to work CST time.
Responsibilities
- Enroll providers and practitioners into the provider data management system
- Update provider and practitioners with claims payment and directory information
- Research review and make updates within the provider data management system per provider requests
- Perform quality service checks on systemic data inclusive of claims processing and provider directory information
- Perform research and resolve problems as necessary
Benefits
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
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What This Job Offers
Career Level
Entry Level
Education Level
Associate degree
