TEMP BPO Senior Representative

NTT DATA • Plano, TX

131d

About The Position

The position involves analyzing and processing provider transactions in accordance with plan provisions. The individual should follow the policy and procedure defined by the customer and secure the PHI information. The role requires an established working knowledge and application of specialized technical skills, understanding how work impacts results for their area. The candidate will demonstrate knowledge of internal operations and develop relationships to facilitate workflow. Knowledge of related regulations and standards is essential. A strong understanding of current processes and procedures is necessary, and the candidate may identify opportunities for improvement. The role includes completing a wide range of tasks and assignments, which are typically non-routine and variable in nature. The candidate will resolve more complex situations by applying demonstrated knowledge and skills generally acquired through job experience.

Requirements

• High school Diploma or equivalent.
• 3+ years of experience in Health care processing (Provider Data Management preferred, Claims or other Healthcare Payer/ Provider experience).

Nice To Haves

• Experience in Provider Data Management and/or Provider Credentialing.
• Experience in Appian, ServiceNow is a plus.
• 3+ years of experience using a computer with Windows PC applications that required keyboard usage, screen navigation, and leveraging internet search engines.
• 3+ years of experience with the Microsoft Office suite that required daily usage of Outlook, Excel, and Word.
• Ability to type 40 WPM.

Responsibilities

• Analyzing and processing provider transactions in accordance with plan provisions.
• Following the policy and procedure defined by the customer.
• Securing PHI information.
• Establishing working knowledge and application of specialized technical skills.
• Understanding how work impacts results for their area.
• Demonstrating knowledge of internal operations and developing relationships to facilitate workflow.
• Knowledge of related regulations and standards.
• Identifying opportunities for improvement in current processes and procedures.
• Completing a wide range of tasks and assignments.
• Resolving more complex situations by applying demonstrated knowledge and skills.

What This Job Offers

• Industry: Professional, Scientific, and Technical Services
• Education Level: High school or GED