"Alerted.org

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