Provider Data Management Analyst 1
About The Position
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. This role involves enrolling providers and practitioners into the provider data management system, updating them with claims payment and directory information, and researching and resolving issues. The analyst will also perform quality service checks on systemic data, including claims processing and provider directory information.
Requirements
- Diploma/ GED
- 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.
- Knowledgeable in Microsoft programs
- Knowledgeable in systems and programs
- Typing test, basic computers skills test, etc.
Nice To Haves
- Some college coursework/Degree
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
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
