Medical Data Entry Specialist - Full-time / Part-time

Currently seeking Contract Provider Data Entry Specialists for a large health insurance company in North Phoenix!

Ensures accurate, timely maintenance and synchronization of critical provider data on all provider databases, and systems. Accesses and utilizes multiple software applications.

Data Entry Specialist Summary:

• Process provider data inventory within expected timeline, accuracy and production targets.
• Identify, research, and analyze issues received to determine appropriate handling.
• Resolve provider data correction requests in a specified time frame.
• Manage daily follow up of provider data correction requests and issues to ensure databases are current and accurate.
• Develop, maintain and process reimbursement terms ensuring correct claims payment and downstream processing
• Review provider contract language and identify when contract is out of compliance.
• Process provider contracts, run reports and respond to inquiries regarding contract compliance issues; image and index contracts and return images to network subcontractors; conduct quality assurance activities to ensure image quality and completion of image activities.
• Reviews provider applications and verifies that each meets the VA credentialing criteria.
• Reviews provider applications for accuracy and completeness and follows-up to obtain missing information materials in a timely manner in accordance with department standards.
• Queries primary sources, as applicable, to verify provider credentials and qualifications.
• Prepares files for review by the Credentialing Committee

Qualifications Include:

• High School Diploma or GED

• 2 years of varied responsible experience with computer database programs

Qualified candidates please apply below or send your resume directly to Jessica Parsons!