Date: Oct 26, 2023
Location: Remote, Remote, US
Requisition ID: 5276
Description:
Are you ready to take your next big career step with a respected BPO services company? Join us at Firstsource Transaction Services! We are a leading Business Process Management company, providing customer-centric business process services. With a diverse array of resources, we can tap into our talent pools to ensure client proximity, deep market and domain expertise, and superior communication; called our ‘Right-shore’ delivery model. We leverage this model to serve organizations in the Banking, Financial Services and Insurance, Healthcare, Telecommunications & Media verticals. Our brand’s promise is – Business Process. Simplified.
Due to our continued growth, Firstsource is looking for Provider Data Specialist
Responsible for performing manual provider demographic and contract linkage loads and maintenance based on work requests for physician groups, while ensuring we synchronize multiple systems platforms.
Qualifications – External
Responsibilities:
Processing and data entry for routine types of physician and contract linkage transactions such as:
Load new physician demographics and contract linkage using the appropriate loading instruction guidelines (i.e. Managed Care Forms, Provider Data Loading Templates, etc.)
Perform physician demographics and contract linkage data using the appropriate loading instruction guidelines (i.e. Managed Care Forms, Provider Data Loading Templates, etc.)
Responsible for ensuring all data elements necessary to complete the request are provided and responds to the submitter with a detailed outline if additional information is needed
Use desk-top macros whenever possible to ensure data loading accuracy and efficiency
Send large requests capable of being automated as defined by management to the AST
Provide excellent customer service to customers (physician, health plans, affiliates, delegates, insured, and all associated business partners) by:
Quickly and accurately identifying and assessing customer needs and taking appropriate action steps to satisfy those needs
Solve problems systematically using sound business judgment and following through on commitments using an automated approach whenever possible
Respond to customers in a polite and professional manner
Complete assigned work within established TAT and Quality metrics while remaining within downtime parameters to ensure customer satisfaction
Establish successful working relationship with business partners
Ability to resolve quality validation issues concerning any quality process
Consistently meet established service, productivity, and quality standards
Special projects as required
Qualifications:
Pre-Requisites
High school diploma or equivalent
Basic knowledge of the health care industry and managed care preferred
Working knowledge of systems platforms preferred
Excellent telephone/customer service skills required
PC skills (Power Point, Word, Excel, Access, Lotus Notes, Intranet) preferred
Data entry experience preferred
Strong customer service orientation required
Excellent attendance
Ability to work independently
Critical Success Factors
Strong communication skills
Attention to detail
Quality focused
Decision making skills
Organizational skills
Problem solving
Team player
Self starter who needs minimal direction
We are an Equal Opportunity Employer. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law.