Config provider spec

Innova Solutions is immediately hiring for a Healthcare Data entry specialist

Duration : 5 Month

Location : Temple TX

As a Healthcare Data entry specialist, you will :

Responsible for entering and maintaining provider demographic and contractual data within the claims processing system and working with various departments to answer questions regarding information configured within the provider database.

Responsibility :

• Maintains provider database, utilizing credentialing data, the National Plan & Provider Enumeration System (NPPES) and other data sources to ensure data integrity within the claims processing system.
• Works in conjunction with Network Development to enter new contracts into the system and make modification to existing contracts.
• Collects IRS W-9 forms from providers to validate / update configured information.
• Collaborates with enrolment operations to effectively coordinate member re-assignment upon termination of a Primary Care Provider (PCP).

Assists in the selection of the appropriate pricing template to apply to contracts.

• Works in conjunction with the Compliance Department to update provider records as appropriate when notified of credible allegations of fraud and identify any claims paid during the alleged period.
• Provides assistance with both simple and complex administrative tasks, including but not limited to, entry and validation of data for multiple departments.
• Ensures that provider federal tax information found to be in error as identified through IRS B-Notice is updated.
• Responsible for updating provider configuration as appropriate when notified of an IRS Notice of Levy.
• Reviews provider quality reports and update provider records as appropriate to bring configuration in line with company standards.
• Aids in the development of new policies and procedures needed as new issues arise and assists in creating business and system requirements to improve the management of provider data.
• Performs other position appropriate duties as required in a competent, professional and courteous manner.

Qualifications :

• Knowledge of claims processing.
• Proficiency with Microsoft Excel.
• Strong analytical skills.
• Experience with Amisys Advance preferred but not required.
• Health insurance experience required.

The ideal candidate will have : Data Entry, healthcare exp preferred, claim processing, and excel exp.

Qualified candidates should APPLY NOW for immediate consideration! Please hit APPLY to provide the required information, and we will be back in touch as soon as possible.

We are currently interviewing to fill this and other similar positions. If this role is not a fit for you, we do offer a referral bonus program for referrals that we successfully place with our clients, subject to program guidelines. ASK ME HOW.

Thank you!

Dishank Sharma

Sr Associate Recruitment

PAY RANGE AND BENEFITS :

Pay Range* : $20 - 23 per Hour

Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.

Benefits : Innova Solutions offers benefits( based on eligibility) that include the following : Medical & pharmacy coverage, Dental / vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).

ABOUT INNOVA SOLUTIONS : Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion.

Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.

Recent Recognitions :

• One of Largest IT Consulting Staffing firms in the USA Recognized as #4 by Staffing Industry Analysts (SIA 2022)
• ClearlyRated® Client Diamond Award Winner (2020)
• One of the Largest Certified MBE Companies in the NMSDC Network (2022)
• Advanced Tier Services partner with AWS and Gold with MS

Website : https : / / www.innovasolutions.com /

Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates.

If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at hr@innovasolutions.

com or (770) 493-5588. Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities.

Innova Solutions (HireGenics / Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. 1324b.

The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.

Last updated : 2024-05-17