Provider Management Analyst I

Responsibilities

• Verify provider information and requests for documentation to audit claims including itemized bills, medical records, UB04’s, HCFA’s, etc.
• Communicate with respective leadership on any issues or problems identified
• Maintain production standards, production requirements, and quality of work
• Aid coworkers, supervisor, or management to accomplish product goals; report potential issues in a proactive manner
• Timely forward misdirected requests to the correct recipient
• Ensure strict confidentiality of all medical records, PHI, and PII
• Outbound calling may be needed

Requirements

• High School Diploma or equivalent required
• Demonstrated knowledge of office experience

Qualifications

• Ability to work independently
• Strong organization skills
• Strong analytical and problem-solving skills
• Excellent attention to detail
• Ability to deliver results in a timely manner
• MS Office including Word, Excel, and Outlook; Windows operating system
• Outbound call experience

Skills

• MS Office including Word, Excel, and Outlook; Windows operating system
• Outbound call experience

Benefits

• Comprehensive benefits package available for full-time regular employees
• Includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off

Pay

• Pay Range: $13.94 - $20.27 per hour

Schedule

• Not specified