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TEMP BPO Senior Representative at NTT DATA

Plano, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

01 Feb, 26

Salary

0.0

Posted On

03 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Provider Data Management, Provider Data Enrollment, US Healthcare, Credentialing, Claims Management, Contract Information, Quality Standards, Amisys, Cenprov, Medicaid, Medicare, Exchange, Claims Rejections, EDI Rejection Claims, Provider Demographic Changes, MS Office, Communication Skills

Industry

IT Services and IT Consulting

Description

PROVIDER DATA MANAGEMENT - GRADE 4 Associate will process and update Provider Data Management and Provider Data Enrollment Resources to the Client's main application according to its policies and procedures defined. In-depth knowledge and experience in the US healthcare (Non Voice) - Provider Data Validation and Provider Data management. Candidate should have 3 years and above experience in US healthcare and into provider enrollment and credentialling. Ensures day-day transactions are processed per standard operating procedures. Follows Work process flow to ensure pends are completed and maintain Quality and timeliness standards. Knowledge in Amisys and Cenprov application are preferred. Product knowledge in checking affiliation for Medicaid, Medicare and Exchange. Everyday checked Contract information in Payment Index such as, Pay class, override key, accepts code and etc. Ability to read and understand the provider contract. Handling Paid claims and recouped claims. Claims Rejections handling. Working in claims denial management. Knowledge about End to End provider billing process. Working knowledge in EDI rejection claims Handing Provider demographic changes. 1 to 3 years of experience in US healthcare working with Provider Data Enrollment and Management. Ability to work regularly scheduled shifts from Sunday - Saturday 7am EST time to 8pm EST (40 hours/ 5 days working). Ability to work in a team environment. Good logical thinking ability. Good English Comprehension/written skills should have exposure to MS Office. Good Communication Skills - Both Verbal and Written. Ability to interact with clients preferred.

Responsibilities

The TEMP BPO Senior Representative will process and update Provider Data Management and Provider Data Enrollment Resources according to established policies and procedures. They will ensure day-to-day transactions are processed per standard operating procedures while maintaining quality and timeliness standards.