Data Integrity Specialist

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Salary Range:
$19.73 - $24.67
Job Description Summary:
Job Description:
Position Summary: The Data Integrity Specialist supports network contracting teams through contract processing, review, maintenance and data entry management required for contract execution and system loading. The position is responsible for consistently entering, auditing and monitoring data that feeds company systems. Position requires knowledge of the Denver health care landscape, including areas of city, hospital systems, and provider types. Strong attention to detail is a must. Ability to learn company structure and how the use of data systems impact downstream workflows.
COMPETENCIES/Role-Specific Functions:
COMMUNICATION
Communicates well both verbally and in writing, creates accurate and punctual reports, delivers presentations, shares information and ideas with others, has good listening skills.

• Interacts professionally with necessary internal and external contacts to ensure data accuracy.

PROBLEM SOLVING
Breaks down problems into smaller components, understands underlying issues, can simplify and process complex issues, understands the difference between critical details and unimportant facts.

• Responds to help desk inquiries in a timely and accurate manner. Appropriately escalates and follows through with complex issues

PRODUCTIVITY
Manages a fair workload, volunteers for additional work, prioritizes tasks, develops good work procedures, manages time well, handles information flow.

• Supports credentialing processes
• Responsible for accurate and timely multi-system data entry of contract information in accordance with departmental policies and procedures to include delegated providers
• Responsible for database entry and provider directory maintenance, assuring that all providers or other data entered are accurately reflected according to departmental policies and procedures
• Meets or exceeds departmental timeframes and quality metrics on a consistent basis

SELF DEVELOPMENT
Seeks out and accepts feedback, is a proactive learner, takes on tough assignments to improve skills, keeps knowledge and skills up-to-date, turns mistakes into learning opportunities.
CUSTOMER FOCUS
Builds customer confidence, is committed to increasing customer satisfaction, sets achievable customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met, solicits opinions and ideas from customers, responds to customers.

• Works with many internal teams and provides timely responses, answers questions, and coordinates work that impacts data systems.

JOB KNOWLEDGE
Understands duties and responsibilities, has necessary job knowledge, has necessary technical skills, understands company mission/values, keeps job knowledge current, is in command of critical issues.

• Maintains a working knowledge of contracting policies, procedures and process, in an effort to provide cross functional support to the contract services team on an as needed basis
• Participates in continuous quality improvement efforts with an open mind and positive attitude
• Other duties as assigned

Qualifications (Education/Experience/Knowledge/Skills/Abilities):

• High School Diploma or GED
• Three or more years in healthcare, preferably in contracting.
• Three or more years of administrative, database and data entry experience in contract loading/knowledge or in a managed health care setting or related environment.
• Excellent computer and typing skills required.
• Must be able to maintain confidentiality while working with sensitive information
• Must be detail-oriented, well-organized and have the ability to multi-task effectively
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information form others.
• Strong interpersonal skills, establishing rapport and working well with others.

Strong customer service skills.
About Physician Health Partners:
PHP is an integrated team of physicians and health care professionals committed to supporting effective patient care throughout the health care continuum. PHP partners with Anthem, Centura Health, and Primary Physician Partners to create Colorado Community Health Alliance (CCHA) and meet the needs of Health First Colorado (Colorado's Medicaid Program) members.
We believe that our employees are our biggest assets, so we offer a robust benefits package that is not limited to:

• Company pays majority of medical, dental, and vision premiums for employees/dependents
• HSAs, including employer contribution FSAs, including medical, limited purpose, and dependent care
• Paid Time Off
• 401(k) matching
• Short-Term and Long-Term Disability coverage
• Tuition Reimbursement
• Rewards and Recognition program

If you are interested in working for an innovative and collaborative workplace in the healthcare market, apply now!