Provider File Maintenance Specialist jobs in United States
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VIVA HEALTH · 22 hours ago

Provider File Maintenance Specialist

VIVA HEALTH is a health maintenance organization that provides quality healthcare and is part of the University of Alabama at Birmingham Health System. They are seeking a Provider File Maintenance Specialist responsible for maintaining accurate provider information in their claims processing system and ensuring data integrity.

Health CareInsurance

Responsibilities

Enter and update providers in VIVA HEALTH’S claims processing system
Verify integrity of data by comparing it to source documents. Review input data for errors or missing information and resolves any discrepancies
Monitor and maintain Medicare opted-out providers and Medicare precluded providers
Communicate terminated and reinstated providers to all areas of VIVA HEALTH
Perform fee schedule maintenance in the claims processing system. Support the configuration team, as needed, in maintaining system reference files

Qualification

Claims processing knowledgeProvider credentialing knowledgePowerSTEPP experienceHealthcare industry knowledgeMicrosoft Excel proficiencyMicrosoft Outlook proficiencyCustomer service skillsBasic computer skillsWork under pressureWork independentlyTeamwork skills

Required

High School Diploma or GED
Healthcare industry knowledge
Ability to work under pressure to meet deadlines with minimal supervision
Demonstrate excellent customer service skills through written and verbal communication
Ability to produce quality-focused work
Ability to work independently and as a member of a team
Basic computer skills

Preferred

Some College
Claims processing and/or provider credentialing/contracting knowledge
2 – 3 years' experience with PowerSTEPP
Proficient knowledge of Microsoft Excel and Microsoft Outlook

Benefits

Comprehensive Health, Vision, and Dental Coverage
401(k) Savings Plan with company match and immediate vesting
Paid Time Off (PTO)
9 Paid Holidays annually plus a Floating Holiday to use as you choose
Tuition Assistance
Flexible Spending Accounts
Healthcare Reimbursement Account
Paid Parental Leave
Community Service Time Off
Life Insurance and Disability Coverage
Employee Wellness Program
Training and Development Programs to develop new skills and reach career goals
Employee Assistance Program

Company

VIVA HEALTH

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VIVA HEALTH is the preferred healthcare provider which provides Health Insurance, Medicare, Medicaid and Healthcare.

Funding

Current Stage
Late Stage

Leadership Team

C
Cardwell Feagin
COO
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