TriWest Healthcare Alliance ยท 4 hours ago
Provider Data Specialist
Phoenix, AZ
Full-time
Remote
Entry Level
$37K/yr - $47K/yr
1+ years exp
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No H1B
U.S. Citizen Only
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Responsibilities
Process provider data inventory within expected timeline while meeting accuracy and production targets.
Identify, research, and analyze issues received to determine appropriate handling. Resolve provider data correction requests in a specified time frame. Manage daily follow up of Provider data correction requests and resolve all issues to ensure databases are current and accurate.
Maintain and process reimbursement terms to ensure correct claims payment and downstream processing.
Review Provider contract language and identify when the contract is out of compliance. Process Provider contracts, run reports and respond to inquiries regarding contract compliance issues; image and index contracts and return images to network subcontractors. Conduct quality assurance activities to ensure image quality and completion of image activities.
Support requests for assistance and research issues using various resources including online searches and phone calls.
Communicate clearly through both written and verbal forms of communication and follow up with various parties to ensure tasks are completed within the allotted timeline or issues are escalated appropriately.
Coordinate with internal departments for provider database related issues.
Perform all other related duties as assigned by supervisor.
Regular and reliable attendance is required.
Qualification
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Required
High School Diploma or GED
U.S. Citizenship
Must be able to receive a favorable Interim and adjudicated final Department of Defense (DOD) background investigation
One year experience in a customer service role or administrative support work requiring data entry work
Proficiency in using Microsoft Office products and the Internet
Preferred
2 years of data entry experience
Healthcare industry experience, including knowledge of health services
Benefits
Medical, Dental and Vision Coverage
Generous paid time off
401(k) Retirement Savings Plan (with matching)
Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
Tuition reimbursement
Paid volunteer time
Company
TriWest Healthcare Alliance
TriWest Healthcare Alliance - Serving Those Who Serve. At TriWest, we honor the sacrifice and service of our nations military families by
1,001-5,000 employees
Funding
Current Stage
Late StageLeadership Team
Mark E. Babbitt
Senior Advisor to President & CEO
Joseph Oddo
Vice President and Chief Information Officer
Recent News
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