Provider Data Management Analyst 1

Provider Data Management Analyst 1

BC Forward is looking for Provider Data Management Analyst 1 (Remote) in NC

Position Title: Provider Data Management Analyst 1 (Remote)

Locations: Remote - NC
Anticipated Start Date: 02/17
Expected Duration: 3 months
Job Type: Contract with possible extension
Timings: 9AM - 6PM, No OT req'd/mandatory
Pay Rate: $15.38/hr. on W2.
Need: Previous data entry experience and healthcare background


Job Description:
The role involves performing data management tasks related to provider information, ensuring compliance with plan and contract specifications, as well as standard business practices. Responsibilities include data analysis, entry, and review through various internet platforms and internal systems. The position requires the use of multiple systems to validate and ensure the accuracy and completeness of provider data.
Qualifications:

• High school diploma or equivalent, with 1+ years of experience in data entry, analysis, or customer service, preferably within healthcare operations (e.g., claims processing, billing, provider relations, or contracting), provider data management, or credentialing in managed care, insurance, or medical office settings.
• Proficiency in data analysis tools like Excel or similar software is highly desirable.
  

Day-to-Day Responsibilities of the Role:

Entering Provider Contract and Fee Schedule Information:

• Inputting detailed information related to provider contracts and associated fee schedules into the system. This involves ensuring accuracy in data entry to maintain proper billing, reimbursement, and contract adherence.
• Reviewing contracts to verify that the correct fee schedule information is used and making necessary adjustments when discrepancies are found.

Ensuring Accuracy and Timeliness:

• Consistently checking for errors in data entry and maintaining up-to-date records.
• Coordinating with other departments to ensure any changes in contracts or fee schedules are promptly entered into the system.

Required Skills/Experience:

Data Entry

Communication

Critical Thinking

Education Requirement:

• High School Diploma

Software Skills Required:

• Quality Data Entry

Project Description:

• Contract Data Management:
  • This role supports the organization's contract management system by entering provider information and fee schedules, ensuring that all data entered is accurate, current, and in line with organizational standards.
  • Regularly works on updating contract details and working with other departments (like finance and billing) to ensure the correct contract terms are being applied for reimbursement purposes.

Performance Expectations/Metrics:

Production Expectations:

• Production Rate: Must meet a production target, which is calculated at the end of the month (EOM). A 95% production rate means that 95% of the expected volume of data entry or contract processing should be completed by the employee.
• Audits: The employee will undergo weekly audits (3 times per week), where their work will be reviewed for accuracy and compliance with company standards.
• Quality Metrics: These will also be reviewed at the end of the month (EOM) and will contribute to performance evaluations. Employees must maintain high-quality data entry, with audits being a key part of the assessment.

Quality Expectations:

• As quality is assessed based on audit results, maintaining a high level of accuracy in data entry and adhering to company policies for processing contracts and fee schedules is essential.

Benefits:

BCforward offers a comprehensive benefits package to all eligible employees, which includes major medical coverage, HSA, dental, vision, employer-provided group life insurance, voluntary life insurance, short-term disability, long-term disability, and 401k.

About BCforward:

Founded in 1998, BCforward was created to provide industry-leading professional services and workforce management expertise, helping businesses develop and execute their core strategies. As a Black-owned company headquartered in Indianapolis, IN, with an Offshore Development Center in Hyderabad, India, BCforward employs over 6,000 consultants and serves more than 225 clients globally.

BCforward is driven by the belief in the power of human potential to help organizations transform, accelerate, and scale. With core values of People-Centricity, Optimism, Excellence, Diversity, and Accountability, we have supported our clients in achieving strategic goals for over 25 years. Our strong culture and values have positioned BCforward as a market leader and a top employer.

We are an equal opportunity employer. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability.

To learn more about how BCforward collects and uses personal information during the recruitment process, please review our Privacy Notice and CCPA Addendum. We may request specific categories of personal information, such as identifiers, professional, commercial, and educational details, solely for the recruitment process.

This posting does not constitute an offer of employment. All applicants for positions in the United States must be legally authorized to work in the U.S. Providing false or fraudulent information during the application process may disqualify you from consideration. Any employment offer is considered at-will, regardless of the expected duration of the assignment.

Interested candidates please send resume in Word format Please reference job code 234177 when responding to this ad.

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