Provider Installation Analyst
About The Position
The Provider Installation Analyst maintains accurate, current provider information using claims, provider databases, and reports. The role ensures provider data complies with business policies and state requirements, supports system updates, and helps improve the accuracy and efficiency of provider configuration processes. The analyst reviews and tests systems, helps resolve defects in assigned business applications, and supports internal users through training and communication. The position also maintains documentation for audit purposes and works with Claims Administration when system configuration changes affect claims.
Requirements
- High school diploma or GED required.
- Two years of experience in managed care, provider data configuration, and/or claims processing required.
- A bachelor’s degree may substitute for the required work experience.
Nice To Haves
- Bachelor’s degree preferred.
- Texas Medicaid experience preferred.
Responsibilities
- Update provider information from reports, databases, and claims accurately and within departmental turnaround time and quality standards.
- Maintain thorough, precise documentation of provider changes and issues for audit purposes.
- Monitor pending claims and work queues and update the appropriate systems.
- Escalate nonstandard data or data that does not meet business requirements, recommend improvements, and help implement changes to improve process accuracy and efficiency.
- Identify claims affected by system configuration changes and send reports to Claims Administration for reprocessing.
- Manage fluctuating workloads and prioritize assignments to meet deadlines and Health Plan needs.
- Assist with training current staff and new hires as needed.
- Participate in training related to system updates.
- Review and test systems to ensure they meet functional and performance requirements.
- Provide input on project implementation plans.
- Help resolve defects in assigned business applications and communicate problems and resolutions to management.
- Support and train internal users to promote consistent system knowledge and ownership.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
