Job Details

AltaStaff is a staffing agency currently looking for a Provider Information Analyst to work with our Managed Care Client!

Pay Rate: $22 - 24 hourly

Schedule: Monday-Friday, 8am-5pm CST

***This is a fully remote role but candidates must be able to work CST hours during training***

Position Purpose: This role is responsible for the timely and accurate entry of provider demographic, contract affiliation, and fee schedule information into the health plan system. Candidate must be able to accurately interpret request and configure provider data in such a way that ensures accuracy and claims adjudication is optimized.

Job Duties:

• Managing the email box and assigning tasks based on the departmental system.

• Reviewing excel files submitted by provider and submitting files to the loading department.

• Researching provider related claim denials.

• Receives information from outside party(ies) for update of information in computer system(s).

• Analyzes by applying knowledge and experience to ensure appropriate information has been provided.

• Maintains department TAT standard for loading of provider demographic data with affiliation and fee schedule attachment.

• Maintains department quality standard for loading of provider demographic data with affiliation and fee schedule attachment.

• Works on projects as assigned and within parameters given.

Education/Experience: 

• High School Diploma or GED required

• 2+ years of managed care experience

• 2+ years in claims, provider services, and/or healthcare billing

• QNXT, Access, Microsoft Excel/Word Proficiency preferred

• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)

If you've applied and would like to view your application status, please visit: https://altastaff.zenople.com/login/ALTA

AltaStaff is an Equal Employment Opportunity Employer. We provide equal employment opportunities to all qualified applicants for employment without regard to age, race, color, creed, religion, sex, marital status, national origin, ancestry, citizenship, disability, veteran status, sexual orientation, or any other protected status, in accordance with applicable federal, state, and local laws.

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