Vacancy Description
Our Client, a Health Insurance company, is looking for a Provider Data Specialist for their Detroit, MI/Hybrid location.
Responsibilities:
Responsibilities:
- The original scope for bring specialist onboard is to work on PIAI projects provider data clean up measures.
- Upon completion of projects, we are finding that these projects are turning into ongoing processes.
- For example: State of Michigan BH (SOM BH) Audit provider outreach, Provider Data Confidence Value (PDCV) audit provider outreach, return mail, facility attestation noncompliant providers, daily CAQH Directory Verification task.
- Validating provider information through auditing processes to reduce and eliminate inaccurate data for accuracy and auditing purposes.
- Increase provider accuracy on members website by eliminating outdated information.
- Perform several outreaches daily to providers across Michigan to verify certainty of demo...
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