Associate Analyst, Provider Configuration (Remote)

Job Summary

Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validates data to be housed on provider databases and ensures adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.

Knowledge / Skills / Abilities

Receives information from outside party(ies) for update of information in computer system(s). Analyzes by applying knowledge and experience to ensure appropriate information has been provided. Maintains department standard for loading of provider demographic data with affiliation and contract assignment. Loads and maintains provider information into computer system(s) with attention to detail and accuracy in a timely manner to meet department standards of turnaround time and quality. Audits loaded provider records for quality and financial accuracy and provides documented feedback. Ensures that provider information is loaded accurately to allow for proper claims processing, outbound reporting and directory processes.

Job Qualifications

Required Education : HS Diploma or GED Required Experience : 0-3 years Preferred Education : Associate degree or equivalent combination of education and experience Preferred Experience : 1-3 years