Provider Data Management (PDM) Support Specialist
About The Position
Trillium Health Resources is seeking a Provider Data Management (PDM) Support Specialist to join their team. This role is responsible for providing guidance and support to the PDM Unit, which focuses on managing provider data. Key activities include processing daily provider data, monitoring the Provider Enrollment File (PEF), conducting crosswalk analyses between various systems (Provider Electronic Data (PED), PEF, NC Tracks, Trillium Business Systems (TBS)), reconciling data inaccuracies, mapping provider data, identifying trends, auditing data, adhering to reporting requirements, and conducting provider outreach and technical assistance. The PDM Unit aims to reduce provider data errors and ensure alignment between the PEF and TBS data.
Requirements
- High school diploma or GED and a minimum of one (1) year credentialing and/or healthcare record management or medical billing experience required, OR Equivalent combination of higher education/experience.
- Must have a valid driver’s license.
- Must reside within North Carolina.
- Must be able to travel within catchment as required.
Nice To Haves
- Associates degree
- Experience in medical office management and medical terminology training.
Responsibilities
- Process confidential and complex information with discretion and professionalism.
- Prepare, process, and review oral and written material.
- Review provider data information received on the Provider Enrollment File (PEF) or as loaded in NC Tracks for accuracy and completeness and make corrections as required.
- Ensure accurate and timely completion of provider demographic data entry.
- Review PEF change report daily to ensure consistent information and make corrections as required.
- Receive and process correspondence from internal staff and external Providers with promptness.
- Provide prompt technical assistance and support for both in-network providers and community stakeholders, as needed.
Benefits
- Competitive benefits
- Work-from-home options for most positions
- Health Insurance with no premium for employee coverage
- Flexible Spending Accounts
- 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
- NC Local Government Retirement Pension (defined-benefit plan)
- 401k with 5% employer match and immediate vesting
- Public Service Loan Forgiveness (PSLF) qualifying employer
- Quarterly stipend for remote work supplies
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
