Data Management Specialist jobs in Sioux City, IA
Data Management Specialist creates, implements, and maintains master data management solutions that enable users to optimize system capabilities. Uses knowledge of end-to-end data processes to analyze, cleanse, and enrich master data elements, and ensure that data flows efficiently and consistently between users and stakeholders. Being a Data Management Specialist provides data governance and ensures data integrity by coordinating data management efforts across the organization. Troubleshoots issues related to master data management and identifies opportunities for improving data management processes. Additionally, Data Management Specialist requires a bachelor's degree. Typically reports to a manager. The Data Management Specialist work is highly independent. May assume a team lead role for the work group. A specialist on complex technical and business matters. To be a Data Management Specialist typically requires 7+ years of related experience. (Copyright 2024 Salary.com)
Recently Added Data Management Specialist jobs
Authorization Specialist
- Village Practice Management Company,LLC
-
Center, NE
FULL_TIME
- About Our Company We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians. When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care. Job Description Position Summary: The Authorization Specialist is responsible for obtaining authorizations for surgical procedures, diagnostic testing, medications, DME, outgoing referrals, and other services as part of the daily operations of the Revenue Cycle Department. Authorization Specialists must have a keen understanding of medical insurance and the clinical policies that determine the authorization protocols for each health plan. Essential Job functions: · Identifies all appointments and procedures for assigned departments that require authorization by monitoring the schedules, system reports, and dashboards · Identifies the referral and authorization requirements of the patients’ insurance plans by using various on-line resources according to department workflows · Demonstrates knowledge of insurance carrier guidelines, clinical policies, and state guidelines pertaining to referrals and prior authorization · Verifies insurance eligibility and benefits, and updates the patient’s insurance information as necessary · Completes referrals and prior authorizations in a timely manner according to department guidelines and workflows · Communicates clearly and effectively with patients, physicians, office staff and manager to resolve issues that may result in a denied or delayed authorization request. · Demonstrates complete system knowledge, ability to run reports, document and manage referrals and authorizations, move correspondence, resolve eligibility and authorization holds, and other system tasks within the user’s security access · Demonstrates the ability to request, prepare, and recognize the documentation required to support the medical necessity for the service being authorized · Provides the supervisor and manager with immediate feedback on issues affecting workflow, reimbursement, and customer service. · Ensures that appropriate and accurate information is entered in the patient account · Responds timely and collaborates effectively with the Reimbursement Department teams to limit denials and ensure proper reimbursement · Collaborates with team members to meet department deadlines and benchmarks · Demonstrates the ability to use the electronic tools and systems available to organize and process the daily work · Anticipates and performs necessary job duties. · Maintains patient confidentiality General Job functions: · Expert in selecting the correct insurance package in Epic. · Updates authorizations and claims to reflect the new insurance package. · Expert in sorting work queues and reports to identify and process the daily work (Manage Schedules - Inbound Referral Report - Outgoing Referrals) · Moves correspondence from the dashboard to the patient’s account. · Expert in generally accepted insurance benefit terms and processes. · Expert in Communication (Case and authorization notation - Physician and Practice location staff – Peers - Supervisor/Manager – Payers) · Expert in requesting and preparation of supporting documentation such as medical records, dictation, and orders. · Expert in investigation of authorization denials and appeals (Insurance – Patient) · Patient Financial Counseling o Work up the out of pocket cost estimate for patient o Search for co-pay assist, free drug or grants that the patient may qualify for o Either call or meet with patient to discuss their options o Will work with the ordering Provider if the patient can still not afford the medication to see if there are other alternatives on the medication that may be cheaper. Education, Certification, Computer and Training Requirements: · High School Graduate/GED Required. · Vocational / Technical School / Diploma Program Preferred · 2-4 years of related experience Preferred · Experience with Standard Office Equipment (Phone, Fax, Copy Machine, Scanner, Email/Voice Mail) Preferred. · Experience Standard Office Technology in a Window based environment & Microsoft Office Suite Required. About Our Commitment Total Rewards at VillageMD Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD’s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan. Equal Opportunity Employer Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws. Safety Disclaimer Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/. Join our Talent Network! Click the 'Get Started' button below to create a Candidate Home account to stay up to date on our most recent Job Postings! We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD and Starling Physicians. When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care. The work we do is changing the lives of our patients, our communities, and each other. Join us as we deliver the care we want to see in the world. Together, we can create better outcomes for all.
- 15 Days Ago
McDonalds General Manager
- Proven Data Solutions LLC
-
Spencer, IA
FULL_TIME
- McDonald's is currently seeking a General Manager for immediate hire. If you are the leader that others want to follow and you enjoy satisfying customer needs by delivering a high quality product and ...
- 1 Month Ago
HOA Management Assistant
- J&M PROPERTY MANAGEMENT
-
Sioux, IA
FULL_TIME
- Job Description: HOA Management Assistant Location: Sioux City, IA, 51101 Skills Required: Organized Meticulous Professional demeanor Public speaking Detail oriented Considerate Compassionate Flexible...
- 1 Month Ago
Data entry
- Maxion Research
-
Vermillion, SD
FULL_TIME
- Work From Home, Entry Level Data Entry Clerk As A Research Participant We are looking for people who want to work remotely from home. You'll need an Internet connection and a mobile device or computer...
- 3 Days Ago
Data entry
- Maxion Research
-
Norfolk, NE
FULL_TIME
- We appreciate you checking us out! Work At Home Data Entry Research Panelist Jobs - Part Time, Full Time This work-from-home position is ideal for anyone with a diverse professional background, includ...
- 3 Days Ago
Management Internship
- Menard, Inc Career Center
-
SIOUX CITY, IA
PART_TIME
- Part-Time Make BIG Money at Menards! Extra $3 per hour on Sat/Sun Store Discount Profit Sharing Exclusive Discounts for gyms, car dealerships, cell phone plans, and more! Flexible Scheduling Dental Pl...
- 3 Days Ago
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0 Data Management Specialist jobs found in Sioux City, IA area
Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
- Department Of The Treasury
-
Sioux City, IA
- Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
- 4/27/2024 12:00:00 AM
Product Manager, Clinical Informatics
- Availity, LLC
-
- Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, ...
- 4/27/2024 12:00:00 AM
Pharmacist
- Winnebago Comprehensive Healthcare System
-
Winnebago, NE
- Job Details Job Location Twelve Clans Unity Hospital - Winnebago, NE Position Type Full Time Salary Range $108,812.00 - ...
- 4/26/2024 12:00:00 AM
Meat Assistant Department Manager
- Hy-Vee, Inc.
-
Vermillion, SD
- At Hy-Vee our people are our strength. We promise "a helpful smile in every aisle" and those smiles can only come from a...
- 4/26/2024 12:00:00 AM
Meat Cutter
- Hy-Vee, Inc.
-
Vermillion, SD
- At Hy-Vee our people are our strength. We promise "a helpful smile in every aisle" and those smiles can only come from a...
- 4/25/2024 12:00:00 AM
Information Professional
- US Navy
-
Sioux City, IA
- About In the Navy, information technology (IT) plays an important role in everything from electronic mail systems, to sh...
- 4/23/2024 12:00:00 AM
Assistant Quality Assurance Manager
- Joy Baking Group
-
Le Mars, IA
- Job Description Job Description SUMMARY: The Assistant Quality Assurance Manager will support the Le Mars Cone and Wafer...
- 4/23/2024 12:00:00 AM
A/P Specialist
- Michael Foods Inc.
-
Wakefield, NE
- Business Unit Overview: Michael Foods, Inc. is a leader in the food processing and distribution industry with business i...
- 4/15/2024 12:00:00 AM
About Sioux City, Iowa
Sioux City (/suː/) is a city in Woodbury and Plymouth counties in the northwestern part of the U.S. state of Iowa. The population was 82,684 in the 2010 census, which makes it the fourth largest city in Iowa. The bulk of the city is in Woodbury County, of which it is the county seat, though a small portion is in Plymouth County. Sioux City is located at the navigational head of the Missouri River. The city is home to several cultural points of interest including the Sioux City Public Museum, Sioux City Art Center and Sergeant Floyd Monument, which is a National Historic Landmark. The city is ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Data Management Specialist jobs
$93,215 to $128,756
Sioux City, Iowa area prices
were up 0.8% from a year ago
were up 0.8% from a year ago
What does a Data Management Specialist do?
Data Management Specialist in Las Cruces, NM
Our team contributes to these goals, as part of the L&H Technical Accounting team, supporting the management of reinsurance client data provided data via Electronic Data Interchange.
February 13, 2020
Data Management Specialist in Canton, OH
As a member of the Production department at New England Biolabs (NEB), the Production Data Management Specialist will work closely with members of Production, Quality Assurance and IT to maintain, change and create Production master data in SAP.
January 30, 2020
Data Management Specialist in Lincoln, NE
· Identifying and acquiring new data sources.
January 09, 2020