Provider Updates Specialist I

    • Job Tracking ID: 512935-592578
    • Job Location: Meridian, ID
    • Job Level: Entry Level (less than 2 years)
    • Level of Education: High School/GED
    • Job Type: Full-Time/Regular
    • Date Updated: September 26, 2017
    • Years of Experience: Less Than 1 Year
    • Starting Date: October 30, 2017
    • Salary Type:: Hourly
    • Rate:: $9.32
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Job Description:

Assist with maintaining the provider files on the GBAS claims administration system.

Key Result Areas

Essential/Daily

  • Self Motivated

  • Attention to Detail

  • Minimum core competency for production is 35 claims per hour.

  • Add/update providers to GBAS (claims adjudication) system based on various types of approved documentation.

  • Add PPO contracts and Provider Types to provider files as required for claim processing.

  • Assist with correspondence, mailings, provider file cleanup projects, and other miscellaneous provider file maintenance tasks.

  • Responsible for verifying accuracy of provider address and specialty information in the provider file.

  • Add/change provider records in GBAS based on daily EDI Maintenance (M837) queue information

  • Ensure accuracy of each provider record in the GBAS database.

Additional

  • Provides accurate inventory and production counts
  • Performs other related duties as assigned or needed
  • Understanding the impact inaccuracies have on our members, brokers, clients, and the other departments.
  • Bring forward ideas for process improvement

Experience and Skills:

  • High school graduate or equivalent

  • Team and Goal Oriented

  • Ability to work efficiently, perform multi-tasking, prioritize tasks, and meet tight deadlines

  • Ability to maintain excellent working relationships with all departments

  • Ability to efficiently and effectively perform the Essential Key Result Areas with or without a reasonable accommodation without posing a direct safety threat to others or self

  • Complete projects and tasks in a timely and accurate manner
  • Punctuality

  • Protect and enhance the Core Purpose and the Core Values of the AmeriBen/IEC Group