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IL

Provider Data Specialist

ICONMA, LLC
🇺🇸 United States
Hybrid
5 months ago
$19.66 – $21.22 / hour
  • Excel
  • Outlook
  • Health insurance

Not enough detail in this posting to match

Our Client, a Health Insurance company, is looking for a Provider Data Specialist for their Detroit, MI/Hybrid location.
 
Responsibilities:
  • The original scope for bring specialist onboard is to work on PIAI projects provider data clean up measures.
  • Upon completion of projects, we are finding that these projects are turning into ongoing processes.
  • For example: State of Michigan BH (SOM BH) Audit provider outreach, Provider Data Confidence Value (PDCV) audit provider outreach, return mail, facility attestation noncompliant providers, daily CAQH Directory Verification task.
  • Validating provider information through auditing processes to reduce and eliminate inaccurate data for accuracy and auditing purposes.
  • Increase provider accuracy on members website by eliminating outdated information.
  • Perform several outreaches daily to providers across Michigan to verify certainty of demographic information such as phone numbers, address, accepting new patients.
  • Review and process results of audits for validity in collaboration with leadership to ensure accurate data is uploaded into database.
 
Requirements:
  • Excel
  • Access
  • Outlook
  • PORTICO
  • SF MACESS
  • FACETS
  • High school diploma
  • 3 to 5 years experience
 
Why Should You Apply?
  • Health Benefits
  • Referral Program
  • Excellent growth and advancement opportunities
 
ICONMA is an Equal Opportunity Employer. All qualified applicants will receive considerationfor employment without regard to any status protected by applicable law.

Provider Data Specialist · ICONMA, LLC

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