[Hiring] Provider Data Management Representative I @SKYGEN

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Role Description

This role involves managing provider directories and ensuring data accuracy within the Enterprise system.

  • Manage provider directories, including entering data for new records, termination of existing records, and ongoing audits and corrections for active records.
  • Set up newly activated provider records in the Enterprise system’s participating networks.
  • Manually load rejected provider data into the Enterprise system, reviewing data for discrepancies.
  • Perform quarterly data verification procedures in accordance with company procedures and CMS requirements.
  • Coordinate with Provider Relations to conduct outreach to provider offices to resolve provider data questions and discrepancies.
  • Utilize the Provider-related modules in the Enterprise System to research and resolve provider data setup issues and discrepancies.
  • Complete follow-ups, service tickets, and emails according to department expectations.
  • Work with internal departments to resolve simple to moderately complex follow-ups and service tickets.
  • Maintain updated data on client and Skygen owned provider networks using automated systems.
  • Work directly with client representatives to resolve provider data issues and update provider data per client or provider request.
  • Act as a liaison between internal Skygen teams to resolve escalated contracting and fee issues related to provider data errors or discrepancies.
  • Assist Client Services in researching and resolving client inquiries that involve in-depth knowledge of provider setups.
  • Process EFT setup requests from provider offices.

Qualifications

  • High school diploma or equivalent
  • 1-2 years of prior related experience in resolving escalated and challenging customer/client issues
  • Experience managing large quantities of data accurately and efficiently
  • Experience identifying and resolving data discrepancies
  • Intermediate knowledge of Microsoft Office products including Word, Excel, and Outlook
  • Solid written and verbal communication skills
  • Strong analytical skills
  • High degree of accuracy

Requirements

  • Ability to communicate effectively with a variety of communication styles
  • Ability to resolve routine to moderately complex problems
  • Ability to adapt to changing priorities
  • Ability to successfully work cross-functionally to resolve problems
  • Ability to recognize patterns and variation in data and identify errors

Benefits

  • Fully Remote & Flexible Hours: Work hours from 8:00 AM to 4:30 PM Central, Monday through Friday
  • Problem-Solving Pro: Tackle challenges head-on with sharp analytical skills
  • Fast Learner & Critical Thinker: Thrive in a fast-paced environment

Compensation

  • Compensation Range: $17.88 – $26.81
  • Compensation Midpoint: $22.35
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