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Provider Data Specialist

Expired Job

Officeteam Syracuse , NY 13214

Posted 2 months ago

Robert Half has an outstanding opportunity for a highly skilled individual to fulfill the role as a Provider Data Specialist. The Provider Data Specialist would be joining a remarkable Fortune 500 company in the Healthcare industry. Do you want to get your career moving in the right direction and work alongside amazing people? The Provider Data Specialist may be the position for you! As the Provider Data Specialist you will:

  • Resolve all issues related to Provider Databases and ensure data is accurate, consistent and configured to guarantee accurate claims processing and provider reimbursement

  • Perform system transactions and maintain the Provider Information Databases including claims and credentialing systems #149; - Conduct appropriate provider database transactions to resolve provider related claim suspends #149;

  • Resolve discrepancies by researching provider data attributes to identify correct provider selection #149;

  • Research and analyze provider data to ensure it enforces corporate policy as it relates to system maintenance of Provider Network affiliations and reimbursement methodology through use of knowledge of Health Care Products and Programs

  • Research, identify and correct errors and trends appropriate corrections to the provider file #149; - Interact verbally and in writing with physician office staff, responds to inquiries For immediate consideration please send your updated resume to Brent at

Requirements

  • Bachelor?s degree in Business Administration or related field (Preferred) - 1+ years of experience working with physicians, claims, provider contracting or provider database environment (Preferred) - Experience with TOPS/TOPPS, CAPS, UWIN, ICPS, PMA, FACETS, ERISCO - Microsoft Office Experience (Excel and Access)

Employment Type: Temporary


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Provider Data Specialist

Expired Job

Officeteam