BusinessOperations - Provider Data Management Analyst 1 - 111458

Position Purpose: Perform provider data management related activities based on plan and contract specifications and standard business rules – includes data analysis and entry, review of data via internet sites and other systems, and usage of multiple systems and applications to validate data is complete and accurate.

Education/Experience: Associate’s degree, or high school diploma/equivalent and + years of data entry, analysis or customer service experience, preferably with healthcare operations ( claims processing, billing, provider relations or contracting), provider data management, or credentialing in a managed care, insurance, or medical office environment. Experience performing data analysis in Excel or similar tools strongly preferred.

• Enroll providers and practitioners into the provider data management system
• Update provider and practitioners with claims payment and directory information
• Research, review, and make updates within the pr...

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