Provider Configuration Specialist I

Job Description:

$10/hour

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 40 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

Typical Minimum Standards

• Complete projects and tasks in a timely and accurate manner
• Punctuality
• Adherence to the Core Purpose and the Core Values of the AmeriBen/IEC Group.

AmeriBen is an Equal Opportunity/Affirmative Action Employer committed to creating an environment of diversity and inclusion for equal employment and advancement opportunities to all employees and applicants for employment. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, national origin, sex, sexual orientation, gender identity and/or expression, genetic information, disability, veteran or military status, or any other category protected by federal, state and/or local law.

If you are unable to use our online application process due to a disability, please contact the Human Resources Department at humanresources@ameriben.com.