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Randstad is seeking qualified individuals for the role of Provider Data Senior Associate for a large healthcare company. This opportunity will expose the right candidate to a great working environment to demonstrate their skills and expertise within a rapidly growing company in the Health Care industry.
This position requires the candidate to utilize independent judgment, critical thinking, problem solving skills, logic and discretion to work in a fast paced production driven environment. The candidate is responsible for organizing and inputting all the required information while creating, maintaining and updating provider data in the QNXT claims transaction system. PDM receives its data from a variety of sources, systems and department; it is our job to place it into one coherent stream. Knowledge and understanding of contracts, rates and fee schedules is a plus. Candidates are not required to answer phones or process patient charts but should have excellent communication, computer and organizational skills.
This role requires dependability, analytical thinking, willingness to learn, and attention to detail.
Responsibilities include the following:
-Responsible for entering and maintaining non-participating provider data in the QNXT system
-Responsible for research and analysis of projects maintaining provider data
-Responsible for correcting provider data in QNXT based of off provider claims submission
-Responsible for the quality of provider data entered in QNXT
-Other Duties as assigned
Working hours: 8 AM - 5 PM
The basic qualifications are as follows:
-Understanding of Medicare and Medicaid
-Capable of understanding standard contract language
-Capable of reviewing health care claims
-Able to research and analyze data
-Able to work independently and as a member of a team
-Must be able to multi-task and handle high priority issues
-Able to meet deadlines
-Good written and oral communication skills
-Intermediate skills with Microsoft Excel and Word
-Data Entry Skills
-Excel Experience Needed
-QNXT - database system (experience not required, worker will be trained, but preferred)
If you are interested in this long-term temporary position and meet the requirements and qualifications of these positions, please visit www.randstadusa.com then click on: Job seekers > Create account.
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