26 Jul
Provider Information Management Specialist
Vacancy expired!
We are needing someone who is analytical for this temp role.
- Provide support in developing, implementing, configuring, and testing releases and system upgrades.
- Research and respond to Benefits Administration personnel questions regarding provider data on claims.
- Interpret and enter all required provider information accurately and timely.
- Verify appropriate data including licensure, National Provider Identifier (NPI), Tax identification number (TIN), and dental GRID.
- Maintain a positive working relationship with the provider community through verbal and written communication.
- Identify and enter appropriate networking to providers using Provider Type and Agreement matrixes.
- Create and maintain information on non-payable provider numbers to be used by Medical Management for referral and pre-authorization purposes.
- Ensure new providers are loaded to existing contracts in a timely manner.
- Enter on-call providers into the provider file in Facets.
Vacancy expired!