Healthcare Provider Data Integrity Specialist

UST; Pateros; On-site; PHP 450,000 - 600,000; Full time

Job summary

UST is seeking a detail-oriented Provider Data Specialist to join our BPM operations in the Philippines. You will review, validate, and correct provider information, meet SLAs, and contribute to data quality across demographics, credentials, and network status.

Ideal candidates have 3+ years in BPM/BPO data processing, strong English communication, and the ability to work onsite night shifts. This role emphasizes accuracy, collaboration, and adherence to HIPAA compliance.

Qualifications

• 3+ years of experience in BPM/BPO operations or data processing, preferably in the US healthcare or health insurance domain.
• Strong attention to detail and accuracy.
• Working knowledge of MS Office and data processing applications.
• Good verbal and written communication skills in English.

Responsibilities

• Review provider information such as demographics, credentials, network status, and payment-related details and identify discrepancies or incomplete information.
• Update and correct provider records accurately based on defined process guidelines and standard operating procedures.
• Complete assigned transactions within agreed SLA, productivity, turnaround time, and quality standards.
• Perform required quality checks to ensure provider information is complete and accurate.
• Research data discrepancies, identify recurring issues, and elevate complex cases to the appropriate team or supervisor.
• Maintain accurate records of transactions, corrections, and outcomes as required by the process.
• Follow applicable healthcare data privacy, security, and compliance requirements, including HIPAA.
• Coordinate with team members, leads, and other stakeholders for timely resolution of provider data issues.

Job description

UST is seeking a detail-oriented Provider Data Specialist to join our BPM operations in the Philippines. You will review, validate, and correct provider information, meet SLAs, and contribute to data quality across demographics, credentials, and network status.

Ideal candidates have 3+ years in BPM/BPO data processing, strong English communication, and the ability to work onsite night shifts. This role emphasizes accuracy, collaboration, and adherence to HIPAA compliance.