Centers Plan for Healthy Living

  • Provider Data Maintenance Operator

    Job Locations US-NY-Staten Island
    Posted Date 2 weeks ago(11/6/2018 10:29 AM)
    ID
    2018-1349
    # of Openings
    1
  • Overview

    New CPHL Logo

     

     

    Summary:

    The Provider Data Maintenance Operator assists the Provider Data Maintenance Supervisor with any of the following: provider demographic updates, contract updates, fee schedule updates, auditing, running reports, etc. The Operator will typically be assigned as a lead on any special projects that may arise.

    Responsibilities

    Primary Responsibilities:

    The Provider Data Maintenance Operator is responsible for, but not limited to:

    • Creation and maintenance of all provider records within the health plan system(s).  Includes setup of demographic and specialty information, panel, line of business and fee schedules.
    • Performs data entry accurately and timely.
    • Audit current provider contracts and data to ensure they are up to date.
    • Act as SME for other departments as it relates to provider contracts and setup
    • Trouble shoot and identify root cause of problems and collaborate with other departments to resolve. Identifies and documents opportunities for provider education.
    • Participates in standing meetings as necessary, including but not limited to provider relations, contracting, network development, team building.
    • Performs other duties and special projects as assigned and directed.

    Qualifications

    Specific Technical Skills

    Required:   

    • Proficiency with MS applications, including but not limited to Word, Excel and Outlook.

     

    Knowledge and Skills:

    • Detail oriented, excellent follow up
    • Excellent verbal and written communication skills
    • Ability to multi-task in a fast-paced environment
    • Must be service oriented, quick learner, team player
    • Appreciation of cultural diversity and sensitivity toward target population

    Work Environment

    This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, and photocopiers.

     

     

    Education and Experience

    Education

    Preferred: BA/BS degree in a financial field or equivalent healthcare experience   

    Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

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