Job Title : - Provider Data Mgmt Spec I
Responsible for accurate and timely maintenance of provider information on claims and provider databases.
Primary duties may include, but are not limited to :
Assists in synchronization of data among multiple claims systems and application of business rules as they apply to each database.
Validates the data to be housed on provider databases and ensuring adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.
Requires a 10+2+3 years of education.
1-3 years’ experience in claims processing, provider, or credentialing preferred.
Basic PC office software (especially MS Excel and MS Outlook); or any combination of education and experience, which would provide an equivalent background.
Strong Analytical skills and have adequate expertise with data management along with strong verbal and written communication skills.