NTT America-posted 4 months ago
Plano, TX
5,001-10,000 employees
Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services

Analyzing and processing provider transactions in accordance with plan provisions. Should follow the policy and procedure which is defined by the customer. Secure the PHI information. Established working knowledge and application of a specialized technical skills. Understands how work impacts results for their area. Demonstrates knowledge of internal operations and develops relationships to facilitate workflow. Knowledge of related regulations and standards. Strong understanding of current processes and procedures and may identify opportunities for improvement. Completes a wide range of tasks and assignments. Projects and assignments are typically non-routine and variable in nature. Resolves more complex situations by applying demonstrated knowledge and skills generally acquired through job experience.

  • Analyze and process provider transactions according to plan provisions.
  • Follow customer-defined policies and procedures.
  • Secure PHI information.
  • Demonstrate knowledge of internal operations and develop relationships to facilitate workflow.
  • Identify opportunities for improvement in current processes and procedures.
  • Complete a wide range of non-routine tasks and assignments.
  • Resolve complex situations using demonstrated knowledge and skills.
  • High school Diploma or equivalent.
  • 3+ years of experience in Health care processing (Provider Data Management preferred, Claims or other Healthcare Payer/Provider experience).
  • 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.
  • 3+ years of experience with the Microsoft Office suite (Outlook, Excel, Word).
  • Ability to type 40 WPM.
  • Experience in Appian.
  • Experience in ServiceNow.
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