Contract Role starting 04/15/2024 - 07/26/2024.

Duties:

• Responsible for updating, maintaining and researching a variety of provider file information in multiple systems
• Responsible for updating and maintaining the applicable provider file database(s) with documentation submitted.
• Responsible for provider contract file research and to recommend appropriate actions and/or maintenance.
• Responsible for researching and resolving provider file claims edits.
• Analyze reports for any data corrections and processes for the Association.
• Responsible for the review of the provider files for Quality Control.
• Each progressive level includes the ability to perform the essential functions of any lower levels.

3. Required Leadership Experience and Competencies

• Ability to made decisions related to provider file processes & explain information clearly. (Applies to Levels 3 & 4)
• Ability to train, mentor and guide co-workers. (Applies to Levels 3 & 4)
• Ability to distribute work to lower levels (Applies to Level 4)
• Ability to handle escalated/expedited issues to resolution (Applies to Level 4)
• Ability to interpret and make decisions based on available reporting (Applies to Level 4)
• Ability to cover for Management when needed & represent the department (Applies to Level 4)

Preferred Education

• Associate's Degree in general field of study

Job Types: Full-time, Contract

Pay: $20.00 per hour

Expected hours: 40 per week

Benefits:

• Health insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work Location: Remote