Provider Data Integrity & Transactions Specialist

Analyzing and processing provider transactions in accordance with plan provisions.

Should follow the policy and procedure which is defined by the customer.

Secure the PHI information.

- Established working knowledge and application of a specialized technical skills.

Understands how work impacts results for their area.

Demonstrates knowledge of internal operations and develops relationships to facilitate workflow.

Knowledge of related regulations and standards.

Strong understanding of current processes and procedures and may identify opportunities for improvement.

Completes a wide range of tasks and assignments.

Projects and assignments are typically non-routine and variable in nature.

Resolves more complex situations by applying demonstrated knowledge and skills generally acquired through job experience.