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Lead Healthcare Provider Data Specialist

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Date: May 23, 2019

Location: Quincy, MA, US

Company: NTT DATA Services

Req ID: 48662 

 

At NTT DATA Services, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA Services and for the people who work here.

 

NTT DATA Services currently seeks a Lead Healthcare Provider Data Specialist to join our team in Quincy, Massachusetts (US-MA), United States (US).

 

 

ESSENTIAL FUNCTIONS:
• Responsible for reviewing multiple Work Queues to ensure that work items are being completed on time and correctly.
• Coordinate both inbound and outbound work items to ensure they are routed to the correct work queues within Service Line Agreement timeframes.
• Validate incoming provider inquiries received via electronic mail, the Post Office, or Fax are logged and monitored from date of receipt to completion.
• Provide direction for data research utilizing a variety of applications and online resources to ensure requested data updates are handled appropriately.
• Assist junior team members providing guidance to ensure that database entries are complete and accurate.
• Review work in progress to address questions, verify accuracy, and prevent delays in processing.
• Interact with other business colleagues to resolve provider-related issues, particularly with Provider Relations, Provider Contracting, Credentialing, and Claims Services.
• Special projects and other duties as assigned.

 

SKILLS/QUALIFICATIONS:
• Self-motivated, flexible, and responsive to changes in priorities and deadlines to support business needs.
• Exceptional research, problem solving, and analytical skills.
• Excellent customer service skills.
• Strong written and verbal communication skills.
• Knowledge of healthcare processes, insurance products, policies, and procedures.

 

EXPERIENCE:
• 2 – 3 years of related experience and knowledge of commonly-used concepts, practices, and procedures within healthcare.
• Business to business customer service experience helpful.

 

EDUCATION:
• High School diploma required.
• Associates degree or higher preferred.

 

This position is only available to those interested in direct staff employment opportunities with NTT DATA, Inc. or its subsidiaries.  Please note, 1099 or corp-2-corp contractors or the equivalent will NOT be considered. We offer a full comprehensive benefits package that starts from your first day of employment.                                                                                

                     

About NTT DATA Services

 

NTT DATA Services partners with clients to navigate and simplify the modern complexities of business and technology, delivering the insights, solutions and outcomes that matter most. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services.

 

NTT DATA Services, headquartered in Plano, Texas, is a division of NTT DATA Corporation, a top 10 global business and IT services provider with 118,000+ professionals in more than 50 countries, and NTT Group, a partner to 88 percent of the Fortune 100. Visit nttdataservices.com to learn more.

 

NTT DATA, Inc. (the “Company”) is an equal opportunity employer and makes employment decisions on the basis of merit and business needs.  The Company will consider all qualified applicants for employment without regard to race, color, religious creed, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other class protected by law.  To comply with applicable laws ensuring equal employment opportunities to qualified individuals with a disability, the Company will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or an employee unless undue hardship to the Company would result.

 

 

 


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