Provider Data Management Processor - Remote

Creative Solutions Services, LLC; Pennsylvania; Remote; USD 23,074; Full time

Job summary

A leading healthcare services provider is seeking a Remote Provider Data Management Processor to analyze and process provider transactions. Candidates should have a high school diploma and over 3 years of relevant healthcare processing experience. The role is fully remote with a pay rate of $16.75 per hour. Strong analytical skills and knowledge of current processes are required, along with experience using Microsoft Office and other applications. Join a diverse team committed to innovation and long-term success.

Qualifications

• 3+ years of experience in Provider Data Management preferred.
• 3+ years experience handling complex situations with job knowledge.
• Ability to type 40 WPM and navigate various software.

Responsibilities

• Analyze and process provider transactions as per plan provisions.
• Maintain security of PHI information.
• Identify opportunities for process improvements.

Skills

Experience in Health care processing

Strong understanding of current processes

Analysis and processing skills

Education

High school Diploma or equivalent

Tools

Microsoft Office

Windows PC applications

Appian

ServiceNow

Job description

Overview

Fully Remote Opportunity

Pay Rate: $16.75

NTT DATA, Inc. is currently seeking a Remote– Provider Data Management Processors to join our team. Our Client is one of leading Health Plans in US.

Responsibilities

• Analyzing and processing provider transactions in accordance with plan provisions.
• Should follow the policy and procedure which is defined by the customer.
• Secure the PHI information. - Established working knowledge and application of a specialized technical skills.
• Understands how work impacts results for their area.
• Demonstrates knowledge of internal operations and develops relationships to facilitate workflow.
• Knowledge of related regulations and standards.
• Strong understanding of current processes and procedures and may identify opportunities for improvement.
• Completes a wide range of tasks and assignments.
• Projects and assignments are typically non-routine and variable in nature.
• Resolves more complex situations by applying demonstrated knowledge and skills generally acquired through job experience.

Qualifications

• High school Diploma or equivalent.
• 3+ years of experience in a Health care processing (Provider Data Management preferred, Claims or other Healthcare Payer/ Provider experience).

Preferred Skills/Experience

• Experience in Provider Data Management and/ or Provider Credentialing
• Experience in Appian, ServiceNow is a plus
• 3+ years of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, leverage internet search engines, and other web based applications.
• 3+ years of experience with the Microsoft Office suite that required daily usage of Outlook, Excel and Word.
• Ability to type 40 WPM

About NTT DATA

NTT DATA is a $30+ billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize, and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo. Visit us at us.nttdata.com.

NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The hourly rate for this remote role is $16.75/hourly. This rate reflects the target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.