Job Summary
A managed healthcare and insurance company has an open position for a Telecommute Senior Insurance Provider Data Analyst.
Must be able to:
- Perform critical thinking analysis of each case submission i
- Manage all clarifications for the entire region regardless of submission origination to ensure quality completion of the ask
- Conduct audits and provides feedback to reduce errors and improve processes and performance in collaboration with PDO
Position Requirements Include:
- Undergraduate degree and/or 3 years of equivalent experience
- Advanced proficiency in NDB provider data loading for delegated and non-delegated providers
- Advanced proficiency with Excel, including use of filter, remove duplicates, text to columns, and basic formulas, etc
- Intermediate level of proficiency with all physician contract reimbursement methodologies
- Proficiency with multiple auditing tools, such as Examiner, Hive, NDAR, AMAARDI reporting
