Job Description:
• Follows established procedures to execute routine business support tasks for the Data Services function, under general supervision
• Supports the Finance department, interacting with key Underwriting and Account Management specialists for optimal deliverables
• Enters baseline demographic transactions into the provider directory to support claim adjudication procedures and progress
• Performs data service intake triage, subsequently reviewing details to effectively respond to customer/member inquiries
• Conducts regular audits of provider information, escalating any issues or concerns to management for swift resolution
• Supports Data Services Change Management and Process Optimization strategies, in order to achieve optimal outcomes
• Takes direction from management to properly understand and execute key work area techniques, processes, and responsibilities
• Responds to auditor data requests, questions, and discrepancies, in order to ensure collective data integrity and quality of work
• Performs other duties as assigned
Requirements:
• At least 1 year of healthcare and/or data entry experience
• Demonstrated proficiency in Microsoft Office applications (Teams, Excel, Word, etc.)
• Previous experience with SQL and QXNT (preferred)
• Intermediate proficiency in Microsoft Excel, working with formulas and large data sets (preferred)
• Working knowledge of problem solving and decision-making skills (preferred)
• Strong attention to detail (preferred)
• Excellent organization and time management skills (preferred)
• Basic communication skills (preferred)
• Strong desire to grow and learn, with a curious and investigative nature (preferred)
• High school diploma or GED
Benefits:
• medical, dental, and vision coverage
• paid time off
• retirement savings options
• wellness programs
• comprehensive benefits package