Data Entry Specialist

Contract: Temple, Texas, US

Salary: $22.00 Per Hour

Job Code: 349183

End Date: 2024-06-07

Days Left: 17 days, 17 hours left

About the Role:

  • We are looking for a Provider Data Specialist to join our team.
  • The Provider Data Specialist will be responsible for entering and maintaining provider demographic and contractual data within the claims processing system.
  • This role will involve working closely with various departments to ensure accurate and up-to-date information is configured within the provider database.

Responsibilities:

  • Maintain provider database using credentialing data, NPPES, and other sources to ensure data integrity within the claims processing system.
  • Enter new contracts into the system and make modifications to existing contracts in collaboration with Network Development.
  • Collect IRS W-9 forms from providers to validate/update configured information.
  • Coordinate member re-assignment upon termination of a Primary
  • Care Provider (PCP) in collaboration with enrollment operations.
  • Select appropriate pricing templates to apply to contracts.
  • Update provider records in response to credible allegations of fraud and IRS notices.
  • Assist with administrative tasks related to data entry and validation for multiple departments.
  • Review provider quality reports and update provider records to meet company standards.
  • Assist in developing new policies and procedures as needed.
  • Perform other duties as required in a professional and courteous manner.

Education Qualification:

  • Associate's degree preferred

Required Skills:

  • Knowledge of claims processing
  • Proficiency with Excel
  • Strong analytical skills
  • Experience with Amisys Advance preferred but not required
  • Health insurance experience required If you meet the qualifications and are looking to join a dynamic team, we encourage you to apply for the Provider Data Specialist position.
Job Requirement
  • CSR
  • Customer service
  • Administrative
  • calls
  • records
  • medical records
  • cliams
  • claims processing
  • enrollment
  • data entry
  • claims records
  • record keeping
  • Temple TX
  • Texasjobs
  • filing
  • claims review
  • data management
Reach Out to a Recruiter
  • Recruiter
  • Email
  • Phone
  • Rohan Lazarus
  • rohan.lazarus@collabera.com
Apply Now
Apply Now
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