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Provider Data Senior Representative
Ref No.: 20-00311
Location: Nashville, Tennessee
Provider Data Senior Representative
Location: Nashville
Hours: Mon-Fri 8-5 (some flexibility)
Pay: $17-$19
Start: 02/03/2020

Duties:
  • Maintains provider data to ensure the quality of the network.
  • Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases.
  • Coordinates provider enrollment, and assists with coordination of meetings with providers for training, contracting, and reporting.
  • Updates directories for all contracted organizations.
  • Responsible for reporting and tracking provider calls and complaints.
  • Completes day-to-day Provider Data tasks without immediate supervision, but has ready access to advice from more experienced team members.
  • Tasks involve a degree of forward planning and anticipation of needs/issues.
  • Resolves non-routine issues escalated from more junior team members.
  • This role is supporting primarily for PPO Expansion.

Worker will:
  • Track Data and PPO Contracts
  • Upload contracts to repository
  • May update databases

Skills:
  • Excellent communications skills
  • Strong analytical and problem-solving skills
  • Detail oriented
  • Organized
  • Knowledge of Excel
  • Looking for a bright, organized person with attention to detail

Education:
High School Diploma or GED required