Operations Data Support Specialist I - Boise, United States - PacificSource Administrators, Inc.

Description

*Join PacificSource and help our members access quality, affordable care*

**PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.**

**Diversity and Inclusion:** PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each persons talents and strengths.

**Position Overview:** Enter provider data into an integrated database system by following strict eligibility guidelines and procedures. Communicate with providers regarding required contracting and credentialing documentation. Provide excellent customer service to payor and provider phone calls and emails.

**Essential Responsibilities:**

Accurately interpret, compile, and enter data into IPNs integrated database system following strict eligibility guidelines and procedures within the desired two business day deadline, prepare and send provider communication for data changes and terminations.

Ensure all contracting and credentialing documentation is in compliance with policies and procedures and present at the time of entry and ensure written documentation exists for all entries and is filed electronically according to policy.

Properly analyze, verify, and audit database entries to ensure data integrity and accuracy and compliance with policies and procedures and perform initial review of payor update reports to ensure data and report output integrity.

Answer and direct inbound calls providing claims, application and participation information when possible.

Obtain mail and distribute daily and monitor fax and email queues as assigned.

**Supporting Responsibilities:**

Develop and maintain strong positive working relationships with participating providers and team members.

Participate in identifying and initiating corrections and enhancements to internal procedures to enhance efficiency.

Work in coordination with Data Support Specialist II and Customer Service Representative II.

Provide backup support as assigned.

Meet department and company performance and attendance expectations.

Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.

Perform other duties as assigned.

**Work Experience:** Minimum 2 years experience as an administrative assistant or similar position with a background involving health insurance, customer service or physician practice. Experience in a provider network environment preferred. Exceptional keyboarding proficiency required.

**Education, Certificates, Licenses:** High school diploma or equivalent required.

**Knowledge:** Proficient use of existing integrated provider database and understanding of the datas impact on reports, directories, inquiry screens and business success. Must have demonstrated ability to work independently and as a member of a team. Ability to successfully conclude projects by specified timeframes with minimal supervision is required.

**Competencies**

Adaptability

Building Customer Loyalty

Building Strategic Work Relationships

Building Trust

Continuous Improvement

Contributing to Team Success

Planning and Organizing

Work Standards

**Environment:** Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time.

**Our Values**

We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:

We are committed to doing the right thing.

We are one team working toward a common goal.

We are each responsible for customer service.

We practice open communication at all levels of the company to foster individual, team and company growth.

We actively participate in efforts to improve our many communities-internally and externally.

We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.

We encourage creativity, innovation, and the pursuit of excellence.

**Physical Requirements:** Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

**Disclaimer:** This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

location4 Locationslocation4 Locationslocation4 LocationsPacificSource is anything but a typical health insurance company. Founded in 1933, were an independent, not-for-profit organization that puts our members, and their communities firstacross Idaho, Oregon, Montana, and Washington.

It's our 1,600+ employees who make it happen: promoting health equity and partnering with providers to deliver better access to optimal, affordable care. *So yes*, with PacificSource, you get to do great things. In our effort to put members firstmore than 500,000 of theminitiative, commitment, and hard work are supported and rewarded with excellent benefits, competitive wages, and opportunities for personal growth and advancement.

**Benefits:** Medical, vision, and dental insurance, incentive program, paid time off and holidays, 401(k) plan, volunteer opportunities, tuition reimbursement and training, life insurance, and options such as a flexible spending account.

We love our common purpose. Empowerment, flexibility, and sharing success make for a great place to work. Heres what else we feel good about:

A mission with a real sense of shared values

Competitive wages and outstanding benefits, including telecommuting

Opportunities for learning development and career advancement

Organizational leadership style rooted in servant and transformational leadership

A commitment to support the communities we serve

A belief in the importance of work-life balance

PacificSource is an equal opportunity employer and a company that loves helping people. We work with our employees to understand their goals, and provide training, individual development, and career advancement opportunities to help them achieve just that. In the past nine months alone, we have had 164 internal promotions. That means 34.5% of our open positions have been sourced internally.