Provider Data Processor -Remote

JobDiva, Inc.; Pennsylvania; Remote; USD 19,000 - 27,000; Full time

Job summary

NTT DATA, Inc. is offering a fully remote opportunity for a Remote Provider Data Management Processor. The role involves analyzing and processing provider transactions, ensuring PHI protection, and following client policies.

Ideal candidates have 3+ years in healthcare processing, with Provider Data Management or credentialing experience. Experience with Appian or ServiceNow is a plus, along with strong MS Office skills and typing speed.

Qualifications

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

Responsibilities

• Analyze and process provider transactions per plan provisions.
• Follow customer-defined policy and procedures.
• Secure PHI information and apply specialized technical skills.
• Understand how work impacts results for their area.
• Build relationships to facilitate workflow within internal operations.
• Know related regulations and standards.
• Identify opportunities for process improvement.
• Complete a wide range of tasks; assignments are non-routine and variable.
• Resolve complex situations using experience and skills.

Skills

Provider Data Management

Provider Credentialing

Appian

ServiceNow

Windows PC applications

Microsoft Office (Outlook, Excel, Word

Typing 40 WPM

Education

High school diploma or equivalent

Tools

Appian

ServiceNow

Windows

Job description

Fully Remote Opportunity
Pay Rate-16.75
NTT DATA, Inc. is currently seeking a Remote– Provider Data Management Processorsto 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.