Data Management Specialist
At a glance
Mid-level Data Architecture & Governance role at Integrated Resources INC. Miami · contract.
Pay not stated Data Architecture & Governance salary
dataroles summary, based on the employer's posting.
What you'll do
- Set up and maintain provider, credentialing, and contract records across databases, keeping entries accurate and current
- Check records for accuracy and integrity, then investigate discrepancies and update affected systems
- Handle complex questions from providers and internal staff, explaining solutions by phone or in writing
- Load provider details into relevant systems for new business and send network-inclusion requests to area offices for review
- Log daily work and advise area offices on provider network details or individual provider status
What you bring
- At least one year in a healthcare setting
- One to two years in customer service, data management, communications, or credentialing verification
- Typing speed of at least forty-five words per minute
- Strong technical skills for organizing information across multiple systems, alongside careful attention to detail and customer service ability
Who this fits
This suits someone comfortable balancing accurate data work with provider and staff inquiries in a fast-paced, production-based setting. The role is an onsite contract in Miami, with a stated duration of at least three months. Managed care or healthcare network development experience is preferred.
From the employer
Position: Data Management Specialist
Duration: 3+ Months
Location: Miami FL 33126
Description:
Responsible for timely and accurate data entry and maintenance of provider records or credentialing and contract information in multiple databases. Researches and resolves questions and complaints, and ensures that information in all databases is accurate and properly configured to support operations.
ESSENTIAL FUNCTIONS
- Performs review, correspondence and timely, accurate record set-up and data entry.
- Supports internal auditing process to ensure data accuracy and integrity.
- Researches and resolves issues and ensures systems are updated, timely, appropriately and accurately.
- Responds to requests to update or change information and ensures that all changes are made within operational guidelines and accurately support all other systems related functions.
- Researches and responds to providers and other internal staff regarding complex inquiries.
- Develops solutions and communicates outcomes by telephone and in writing.
- Supports the implementation of new business by ensuring providers are appropriately and accurately loaded in all applicable systems.
- Records daily activities using electronic and manual systems as directed.
- Provides consultation and information to area offices regarding the composition of the provider network or specific provider statuses.
- Forwards provider requests for network inclusion to the area offices for review and approval.
- Assists representatives with detailed information in order to answer provider questions and returns provider calls, as requested, to communicate resolution and/or appropriate course of action.
- Performs other duties and special projects as assigned.
Requirements/Certifications:
- Professionalism on the phone and handling paperwork is critical
- Managed care or other healthcare network development experience preferred.
- 1-2 years’ experience in customer service, data management, communications, or credentialing verifications required.
- 1 or more years in healthcare setting.
- Ability to type 45-50+ words per minute.
- Other standard office equipment including telephone, copy machines, personal computer software and mainframe/LAN data systems.
- Must possess a high level of technical aptitude and be able to organize and manage information in multiple system environments; manage multiple priorities, pay close attention to detail as well as be proficient in word processing and spreadsheet applications.
- Proven customer service skills and the ability to successfully analyze and procure solutions to problems in a fast paced production based environment.
All your information will be kept confidential according to EEO guidelines.
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