"Alerted.org

Description

Provider Outreach: Conduct outreach to practitioners’ offices to verify practice locations and services, resolving any gaps in provider records via an outreach call.

Ticket Management: Submit and track provider update tickets to ensure timely and accurate resolution in an excel spreadsheet, also to include formatting excel files using formulas like VLOOKUP

Goal Tracking: Work toward meeting or exceeding daily productivity and accuracy goals.

Data Quality: Maintain high attention to detail when entering and submitting provider updates to ensure data integrity across systems.

Assist with the contract submission process and the auditing of provider information systems (AMISYS) for consistency and best practices in Provider set up.

Job Responsibilities: Maintain spreadsheets and collect, track, prepare, compile, and distribute statistical data for

daily and monthly reports. Maintain and report on the Health Plan(s) compliance with contract submission rules and exception requests and communicate to Manager monthly. Support the contract submission process to ensure confirmation with corporate standards by the Health Plan(s), provide support to the Contract Case Conferences and ensure that appropriate internal controls are established to account for and secure hardcopy or scanned images of contracts. Maintain and update on a routine basis the contract organization’s database. Produce reports, as requested. Coordinate the Corporate-wide data verification process for contracted providers. Update the contract organization’s databases, as necessary. Interface with the credentialing staff to ensure all Health Plan data systems are congruent.

Position Purpose:

Assist with the contract preparation contract submission process auditing of provider information systems AMISYS and tracking provider compliance.

Education/Experience:

High school diploma or equivalent. 2 years of experience preferably in the healthcare or insurance industry including experience managing large databases and experience with provider information systems. Auditing experience preferred.

Maintain spreadsheets and collect track prepare compile and distribute statistical data for daily and monthly reports.

Maintain and report on the company's compliance with contract submission rules and exception requests and communicate to Manager on a monthly basis.

Support the contract submission process to ensure confirmation with Corporate standards provide support to the Contract Conferences and ensure that appropriate internal controls are established to account for and secure hardcopy or scanned images of contracts.

Maintain and update on a routine basis the contract databases.

Produce reports.

Coordinate the Corporate wide data verification process for contracted providers.

Track and monitor provider compliance with contract deliverables.

Interface with the credentialing staff to ensure all data systems are congruent.

Performs other duties as assigned

Complies with all policies and standards

Experience Level

Entry Level

Job Type & Location

This is a Contract position based out of San Antonio, TX.

Pay and Benefits

The pay range for this position is $20.00 - $20.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Nov 12, 2025.

h4>About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.