Provider Data Management Analyst I

Location: Chesterfield, MO
Position Purpose: Perform provider data management related activities based on plan and contract specifications and standard business rules – includes data analysis and entry, review of data via internet sites and other systems, and usage of multiple systems and applications to validate data is complete and accurate.
 
  • Enroll providers and practitioners into the provider data management system
  • Update provider and practitioners with claims payment and directory information
  • Research, review, and make updates within the provider data management system per provider requests
  • Perform quality service checks on systemic data, inclusive of claims processing and provider directory information
  • Perform research and resolve problems as necessary

Qualifications:
Education/Experience: Associate’s degree, or high school diploma/equivalent and 1+ years of data entry, analysis or customer service experience, preferably with healthcare operations (i.e. claims processing, billing, provider relations or contracting), provider data management, or credentialing in a managed care, insurance, or medical office environment. Experience performing data analysis in Excel or similar tools strongly preferred.
April A. Estes
Senior Recruiter
720-439-2609 Direct
april@proenlist.com 
www.proenlist.com 
www.medenlist.com 

www.linkedin.com/in/aprilaestes
 
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