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Job Requirements of Provider Maintenance Representative:
-
Employment Type:
Contractor
-
Location:
New York, NY (Onsite)
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Provider Maintenance Representative
Careers Integrated Resources Inc
New York, NY (Onsite)
Contractor
Job Title: Provider Maintenance Representative
Job Location: New York, NY, 10004 (Hybrid)
Initial Duration: 3 months+ with possible extension
Shift: 9-5 (2 Days onsite, 3 days remote)
Pay range: $25 - $32/hr. on w2
Job description:
Client is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. This position directly interfaces with the Provider Services, Claims, and IT departments. Incumbent will be responsible for creating and maintaining provider and vendor records for both participating and Nonparticipating providers.
Job Responsibilities:
- Create and/or update newly contracted providers, non-contracted providers, and vendor records in Core Systems.
- Link contracted/non-contracted providers and vendors.
- Create new Provider Organizations and/or Address References as it relates to provider sites
- Communicate new Provider Organizations to relevant departments.
- Create Contract Templates in accordance with Provider Contract language.
- Work closely with the Credentialing department, the incumbent will modify existing data to reflect contract amendments including the addition of new contract lines.
- Process non-credentialed/ancillary providers as received directly from facilities.
- Maintain Facilities Table to assist the Data Analysis department with the publication of the Provider Directory.
- Communicate with providers and vendors to secure supporting documents for creating and maintaining records.
- Communicate with other departments to fulfill requests for changes or additions to provider and vendor records.
- Candidate is expected to meet departmental Quality Assurance standards, assist in the 1099 reporting process.
- Triage and address provider claims issues, Other duties as required.
Required Education, Training & Professional Experience:
- Associate’s Degree and a minimum of 1 year progressive experience in a healthcare setting.
- Three years’ experience.
- Ability to analyze data to produce reports.
Skills:
- Integrity and Trust .
- Customer Focus.
- Knowledge of Excel, Word, and Access.
- Excellent communication skills both oral and written.
- Analytical and problem-solving skills.
- Must be able to work independently and as part of a team to complete assigned tasks.
- Must have the ability to multitask with a strong focus on follow through and attention to detail.
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