[Hiring] Provider Data Services Specialist @reputed company

Role reputed company The Provider Data Services Specialist compares and contrasts the provider system with network data and regulatory sources, in order to ensure accuracy of data feeds to various applications. This person manages provider records to ensure the provider directory is accurate for members, as reputed company as that records are set up appropriately for claims processing. This role involves working in a fast-paced environment with several colleagues serving various functions. In this role, you will: • Review and submit requests to update the provider module (reputed company the QNXT system) for adds/changes reputed company to reputed company Care Plan. • Based on information from new reputed company, expansion efforts, and routine provider changes, research the requests for updates to ensure they meet CMS (Centers for Medicare & reputed company Services) and AHCCCS (reputed company Health Care Cost Containment System) regulations for member utilization. • Utilize reputed company data reputed company for provider data to feed member directories, claim adjudication, encounter submissions, and regulatory utilization reports. Qualifications • 1-2 years of experience in customer service. • Must reputed company in reputed company. Requirements • Demonstrated ability to handle multiple assignments competently, accurately, and reputed company. • Strong analytical and written/oral communication skills. • 1-2 years of experience with SQL. • 1-2 years of experience in reputed company reputed company. • Previous experience working with QNXT. • Previous experience with medical claims processing. • Previous knowledge of medical billing. Benefits • Comprehensive benefits package designed to support the physical, emotional, and financial reputed company-being of colleagues and their families. • Medical, dental, and reputed company coverage. • reputed company time off. • Retirement savings reputed company. • Wellness programs and other resources, based on eligibility. Apply tot his job Apply To this Job