Education and Training:High School Diploma/GED required.Associates' Degree or equivalent combination or education and work experience preferred.
Experience:1+ year previous experience working with claims and/or provider demographic information.2+ year's previous data entry experience.Ability to use MS Excel to manage work items and manipulate data.Previous experience working with healthcare providersProficiency with medical terminologyPrevious experience working with Facets preferredPrevious experience working with EXP Macess preferred.
Position Summary:Under the direct supervision of the Provider Maintenance Supervisor, the Provider Maintenance Technician I is responsible for maintaining both participating and non-participating provider records in the provider database. Demonstrates and supports commitment to corporate goals and mission. Required to attend training on an as needed basis. Performs other related duties and projects as assigned.
Maintains the provider database for both participating and non-participating provider adds, changes and terminations.Researches and resolves returned provider correspondence.Responsible for working on projects assigned by Supervisor.Performs other related duties and projects as assigned.Adheres to ACFC policies and procedures.Attends required training on an annual basis.Key Competencies/Success Factors:
Ability to enter/change provider information in Facets and meet the minimal accuracy standard.Meets turn-around time standard for provider additions, changes and terminations and all work assigned according to the deadline assigned.Demonstrates excellent judgment and decision-making skills to complete assignment accurately and timely.Demonstrates flexibility and team support to ensure efficient, effective operations, which crosses all LOBs.Ability to respond to extreme needs such as backlogs and staff constraints by contributing above and beyond routine work effort and hours.Ability to work well with co-workers and create a positive work environmentDemonstrates a willingness and aptitude to be cross-trained in other functions to ensure efficient operations during times of peak volume or low staffing.
High School Diploma/GED
Associates' Degree or equivalent combination or education and work experience
Experience working with claims and/or provider demographic information
Previous data entry experience
Ability to use MS Excel to manage work items and manipulate data
Previous experience working with healthcare providers
Proficiency with medical terminology
Previous experience working with Facets
Previous experience working with EXP Macess