Provider File Maintenance Specialist
Viva Health•Birmingham, AL
1d•Hybrid
About The Position
The Provider File Maintenance (PFM) Specialist is responsible for maintaining accurate provider demographic, payment, and contractual information in VIVA HEALTH’S claims processing system.
Requirements
- High School Diploma or GED
- Healthcare industry knowledge
- Ability to work under pressure to meet deadlines with minimal supervision
- Demonstrate excellent customer service skills through written and verbal communication
- Ability to produce quality-focused work
- Ability to work independently and as a member of a team
- Basic computer skills
Nice To Haves
- Some College
- Claims processing and/or provider credentialing/contracting knowledge
- 2 – 3 years’ experience with PowerSTEPP
- Proficient knowledge of Microsoft Excel and Microsoft Outlook
Responsibilities
- Enter and update providers in VIVA HEALTH’S claims processing system.
- Verify integrity of data by comparing it to source documents.
- Review input data for errors or missing information and resolves any discrepancies.
- Monitor and maintain Medicare opted-out providers and Medicare precluded providers.
- Communicate terminated and reinstated providers to all areas of VIVA HEALTH.
- Perform fee schedule maintenance in the claims processing system.
- Support the configuration team, as needed, in maintaining system reference files.
Benefits
- Comprehensive Health, Vision, and Dental Coverage
- 401(k) Savings Plan with company match and immediate vesting
- Paid Time Off (PTO)
- 9 Paid Holidays annually plus a Floating Holiday to use as you choose
- Tuition Assistance
- Flexible Spending Accounts
- Healthcare Reimbursement Account
- Paid Parental Leave
- Community Service Time Off
- Life Insurance and Disability Coverage
- Employee Wellness Program
- Training and Development Programs to develop new skills and reach career goals
- Employee Assistance Program
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
501-1,000 employees
