Provider Data Management Specialist

Full Time
Remote
Posted
Job description

NTT DATA Services is currently seeking a REMOTE Provider Data Management Processor to join our team. This is a Temporary Employment opportunity anticipated to run through 9/01/23 with the possibility of an extension. Our Client is one of leading Health Plans in US.

Project summary

Position: Remote Provider Data Management Processor
Location: REMOTE
Tentative Start date: End of May

Duration: End ofMay- End of Aug 2023 and we expect an extension (Long term project-expected to extend multiple years)

Hours: 8:00am – 4:30pm EST (subject to change per client needs)
Compensation: $16.00 – 16.75

***7 weeks paid training included. You will be required to be on video during training

Responsibilities:

· 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.

Qualifications:

· High school Diploma or equivalent.

· 3+ years of experience in a Healthcare Provider Data Management, Provider Enrollment, Payor Claims, or Physician Credentialing where you had to apply business rules to varying fact situations and make appropriate decisions.

· 3+ years of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, leverage internet search engines, and other web based applications.

· 3+ years of experience with the Microsoft Office suite that required daily usage of Outlook, Excel and Word.

Job Type: Full-time

Pay: $16.00 - $16.75 per hour

Schedule:

  • Monday to Friday

Experience:

  • Provider Data management: 1 year (Preferred)
  • Cactus or Facets: 1 year (Preferred)
  • Provider credentialing: 1 year (Preferred)

Work Location: Remote

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