Remote Provider Data Specialist - Healthcare

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

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.