Provider Management Analyst II

CERIS•Fort Worth, TX

2h•$16 - $24•Remote

About The Position

The Provider Management Analyst verifies provider information and requests documentation to audit claims, including itemized bills, medical records, UB04s, and HCFAs. The role verifies patient, provider contact, and client information for accuracy to ensure requests are delivered properly. This is a remote position. The analyst communicates identified issues or problems to leadership, maintains production and quality standards, supports coworkers and management in meeting product goals, and proactively reports potential issues. The role also forwards misdirected requests to the correct recipient in a timely manner and maintains strict confidentiality of medical records, PHI, and PII. Outbound calling may be required, along with other assigned duties.

Requirements

High school diploma or equivalent.
Demonstrated knowledge of office experience.
Ability to work independently.
Strong organizational skills.
Strong analytical and problem-solving skills.
Excellent attention to detail.
Ability to deliver results in a timely manner.
Knowledge of MS Office, including Word, Excel, and Outlook, and the Windows operating system.
Outbound call experience.

Responsibilities

Communicate with respective leadership about identified issues or problems.
Maintain production standards, production requirements, and quality of work.
Assist coworkers, supervisors, or management in accomplishing product goals and proactively report potential issues.
Timely forward misdirected requests to the correct recipient.
Ensure strict confidentiality of medical records, PHI, and PII.
Make outbound calls as needed.
Perform additional duties as assigned.
Verify provider information and requests for documentation to audit claims.
Verify patient information, provider contact information, and client information for accuracy.