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The Provider Data Management Representative role involves analyzing and processing provider transactions while ensuring compliance with policies and procedures. Candidates should have a strong understanding of internal operations and the ability to develop relationships to facilitate workflow. The position requires problem-solving skills and a commitment to securing protected health information (PHI).
Job Responsibility:
Analyzing and processing provider transactions in accordance with plan provisions
Follow the policy and procedure which is defined by the customer
Secure the PHI information
Requirements:
Strong understanding of internal operations
Ability to develop relationships to facilitate workflow
Problem-solving skills
Commitment to securing protected health information (PHI)
Established working knowledge and application of a specialized technical skills
Understands how work impacts results for their area
Knowledge of related regulations and standards
Strong understanding of current processes and procedures and may identify opportunities for improvement
Completes a wide range of tasks and assignments
Projects and assignments are typically non-routine and variable in nature
Resolves more complex situations by applying demonstrated knowledge and skills generally acquired through job experience