TEMP BPO Senior Representative

NTT DATA • Dallas, TX

1d

About The Position

PROVIDER DATA MANAGEMENT - GRADE 4 Associate will process and update Provider Data Management and Provider Data Enrollment Resources to the Client's main application according to its policies and procedures defined. In-depth knowledge and experience in the US healthcare (Non Voice) - Provider Data Validation and Provider Data management. Candidate should have 3 years and above experience in US healthcare and into provider enrollment and credentialling. Ensures day-day transactions are processed per standard operating procedures. Follows Work process flow to ensure pends are completed and maintain Quality and timeliness standards. Knowledge in Amisys and Cenprov application are preferred. Product knowledge in checking affiliation for Medicaid, Medicare and Exchange. Everyday checked Contract information in Payment Index such as, Pay class, override key, accepts code and etc. Ability to read and understand the provider contract. Handling Paid claims and recouped claims. Claims Rejections handling. Working in claims denial management. Knowledge about End to End provider billing process. Working knowledge in EDI rejection claims Handing Provider demographic changes. 1 to 3 years of experience in US healthcare working with Provider Data Enrollment and Management. Ability to work regularly scheduled shifts from Sunday - Saturday 7am EST time to 8pm EST (40 hours/ 5 days working). Ability to work in a team environment. Good logical thinking ability. Good English Comprehension/written skills should have exposure to MS Office. Good Communication Skills - Both Verbal and Written. Ability to interact with clients preferred.

Requirements

• In-depth knowledge and experience in the US healthcare (Non Voice) - Provider Data Validation and Provider Data management
• 3 years and above experience in US healthcare and into provider enrollment and credentialling
• Knowledge in Amisys and Cenprov application are preferred
• Product knowledge in checking affiliation for Medicaid, Medicare and Exchange
• Ability to read and understand the provider contract
• Knowledge about End to End provider billing process
• 1 to 3 years of experience in US healthcare working with Provider Data Enrollment and Management
• Ability to work regularly scheduled shifts from Sunday - Saturday 7am EST time to 8pm EST (40 hours/ 5 days working)
• Ability to work in a team environment
• Good logical thinking ability
• Good English Comprehension/written skills should have exposure to MS Office
• Good Communication Skills - Both Verbal and Written

Nice To Haves

• Ability to interact with clients preferred

Responsibilities

• Process and update Provider Data Management and Provider Data Enrollment Resources
• Ensure day-day transactions are processed per standard operating procedures
• Follow Work process flow to ensure pends are completed and maintain Quality and timeliness standards
• Check Contract information in Payment Index
• Handle Paid claims and recouped claims
• Handle Claims Rejections
• Work in claims denial management
• Handle EDI rejection claims
• Handle Provider demographic changes

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed