Remote Provider Certification Analyst

Location: Arizona, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Dakota, South Carolina, Texas, Virginia, Wisconsin

Compensation: To Be Discussed

Staff Reviewed: Tue, Jun 01, 2021

This job expires in: 13 days

Job Category: Information Technology

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Job Summary

A healthcare company is filling a position for a Remote Provider Certification Analyst.

Candidates will be responsible for the following:

  • Utilizing internal and external resources to certify providers joining the TRICARE
  • Resolving manual edits to ensure timely claims processing to meet established government timeliness standards
  • Resolving incoming provider correspondences

Applicants must meet the following qualifications:

  • U.S. citizenship is required for this position due to Department of Defense restrictions
  • High school diploma or equivalent
  • 1 or more years of WPS enterprise claims experience

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