Job Description

Contract to Hire: Temple, Texas, US

Salary: $21.00 Per Hour

Job Code: 349188

End Date: 2024-06-07

Days Left: 17 days, 11 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.

Education Qualification: - Associate's degree preferred

Recruiter

Phone

Aman Bhatia

aman.bhatia@collabera.com

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