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Form of workJob Description
Must have High school diploma, GED or equivalent required, Two year degree preferred.
Minimum of 3 years previous experience working for a Health Plan, IPA, or other Managed Care Organization.
Minimum of 2 years previous direct experience that included verifying and maintaining provider information and provider contract configuration in a managed care transaction system.
REQUIRED EXPERIENCE:
" High school diploma, GED or equivalent required, Two year degree preferred.
" Minimum of 3 years previous experience working for a Health Plan, IPA, or other Managed Care Organization.
" Minimum of 2 years previous direct experience that included verifying and maintaining provider information and provider contract configuration in a managed care transaction system.
" Working knowledge of one or more of the following managed care transaction systems: EPIC (Tapestry Module), EZ Cap, Facets, QNXT.
" Working knowledge of CPT-4, ICD-9/ICD-10, and HCPCS codes.
" Must have the ability to interpret a variety of instructions furnished in written, oral, diagram and schedule form including provider contracts and contract summaries.
" Ability to adhere to detailed data entry procedures in a complex Managed Care Transaction System with high accuracy for alpha and numeric data inputting.
" Strong organizational skills and the ability to manage aggressive timelines and prioritize multiple concurrent tasks while maintaining high quality standards.
" Proficient computer skills including Microsoft Excel and Word. Competence in navigating the internet.
" Excellent customer service and interpersonal skills, with an ability to work with internal and external representatives
" Willingness to learn new technologies, practices and procedures
