Health Net, Inc.
Position Purpose: Perform provider data management related activities based on plan and contract specifications and standard business rules \u2013 includes data analysis and entry, review of data via internet sites and other systems, and usage of multiple systems and applications to validate data is complete and accurate. Enroll providers and practitioners into the provider data management system
Update provider and practitioners with claims payment and directory information
Research, review, and make updates within the provider data management system per provider requests
Perform quality service checks on systemic data, inclusive of claims processing and provider directory information
Perform research and resolve problems as necessaryEducation/Experience: Associate\u2019s degree, or high school diploma/equivalent and 1 years of data entry, analysis or customer service experience, preferably with healthcare operations (i.e. claims processing, billing, provider relations or contracting), provider data management, or credentialing in a managed care, insurance, or medical office environment. Experience performing data analysis in Excel or similar tools strongly preferred.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Health Net, Inc.
Website : https://www.healthnet.com
Health Net's mission is to help people be healthy, secure and comfortable.