NTT DATA, Inc. is currently seeking a Remote β Provider Data Management Processors to join our team. Our Client is one of leading Health Plans in US.
Responsibilities:
Analyzing and processing provider transactions in accordance with plan provisions.
Should follow the policy and procedure which is defined by the customer.
Secure the PHI information. Established working knowledge and application of a specialized technical skills.
Understands how work impacts results for their area.
Demonstrates knowledge of internal operations and develops relationships to facilitate workflow.
Knowledge of related regulations and standards.
Strong understanding of current processes and procedures and may identify opportunities for improvement.
Completes a wide range of tasks and assignments.
Projects and assignments are typically nonroutine and variable in nature.
Resolves more complex situations by applying demonstrated knowledge and skills generally acquired through job experience.
Qualifications:
High school Diploma or equivalent.
3+ years of experience in a Healthcare processing (Provider Data Management preferred, Claims, Credentialing, or other Healthcare Payer Provider experience)
Preferred SkillsExperience:
Experience in Provider Data Management, Provider Credentialing, Medical Claims
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