Provider Data Specialist - Dallas, United States - Healthcare Highways, Inc.

Description

Job Description

Job Description

Roles and Responsibilities

The Provider Data Specialist is responsible for entering contracted providers and facilities into databases and communicating with different Healthcare Highways Departments for accurate and efficient data field uploads.

The Provider Data Specialist will work with different departments such as

Networking/Contracting,

Credentialing, PDM-IT and outside areas as needed.
Key Performance Indicators (KPI's)
Responsible for entering contracted providers into database within reasonable timeframes.
Responsible for entering contracted facilities into database within reasonable timeframes.
Responsible for effective communication with

Networking/Contracting,

Credentialing, PDM-IT and/or Outside practitioner offices regarding update clarifications within 24-48 turnaround times.

Meet and maintain established departmental performance metrics such as ACT/Contracts, Previous Day Totals, Open Existing ACTs, Closed ACTs, Daily Inbound New Contracts, Closed New Contracts, Inbound, etc.

Answer questions and handle problem resolution on provider or member issues with effective efficient turnaround times.
Follow up with members and providers as necessary and timeliness.
Qualifications and Education Requirements
High school diploma required, college degree a plus.
Minimum 4 years of experience in the healthcare industry (insurance or managed care preferred)
Experience in medical networks and claim inquiries via phone and email
Two or more years' telephone customer service experience in a related field
Two or more years' data and/or credentialing experience in a related field
Excellent communication skills
Strong PC skills – Word and Excel required.
A desire to help people
Ability to adapt communication style based on the caller's needs
Respond well in a stressful, dynamic environment
Flexible, uses critical thinking skills and open to learning new ideas/skills
Team player
Positive attitude
Professional Appearance
Company Information
Great Place to Work Certified

Healthcare Highways is committed to revolutionizing the way healthcare is delivered by making a positive impact on the lives of patients and providers alike.

We believe in a diverse, inclusive workplace and are always looking for creative, analytical, innovative, and passionate thinkers and doers who are driven to learn as well as succeed.

Choosing to work for Healthcare Highways means being part of a team that values collaboration, candor, and integrity.

HCH is a company that fosters a supportive work environment, where employees are encouraged to contribute their unique perspectives and ideas and have the opportunity to be at the forefront of groundbreaking healthcare solutions.

By investing in our workforce, Healthcare Highways empowers its employees' growth and development by offering competitive hourly/salary wages and career progression.

We help support our employees' career initiatives, both professionally and personally, while maintaining a healthy work/life balance.

A career at Healthcare Highways offers an exceptional opportunity to be part of a forward-thinking organization that is transforming healthcare.

With a supportive work environment, a commitment to innovation, a focus on employee growth and culture, and a dedication to improving healthcare outcomes, Healthcare Highways is an ideal choice for individuals passionate about making a meaningful difference in the healthcare industry, leading to a tangible impact on the lives of patients and their communities.

Don't take our word for it, check out what our employees are saying by visiting our Careers page at:

Company Description Founded in 2010, Healthcare Highways is a health plan backed by a high-performance network that delivers quality care, cost savings, and sustainable value.

We're the new competitor in health care working with employers of large, small, and hourly workforces to get the most value out of their health plans and the best health outcomes for all members.

We believe in being transparent about costs, coverage, care and our relationships.

We believe independent healthcare providers should influence where and how patients are treated.

We believe ensuring quality care is our non-compromising obligation, and that health outcomes are its only means of measure.

We view competition as the catalyst with which to bring about the innovation industry needs to drive down costs and drive up quality care.

We believe we are bringing that competition.

Company Description

Founded in 2010, Healthcare Highways is a health plan backed by a high-performance network that delivers quality care, cost savings, and sustainable value.\r\rWe're the new competitor in health care working with employers of large, small, and hourly workforces to get the most value out of their health plans and the best health outcomes for all members.

\r\rWe believe in being transparent about costs, coverage, care and our relationships.\r\rWe believe independent healthcare providers should influence where and how patients are treated.\r\rWe believe ensuring quality care is our non-compromising obligation, and that health outcomes are its only means of measure.\r\rWe view competition as the catalyst with which to bring about the innovation industry needs to drive down costs and drive up quality care.\r\rWe believe we are bringing that competition.

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