Trinity Health logo
Trinity Health

Trinity Health is a multi-institutional healthcare network that serves over 30 million people with compassionate healing services. The health system was formed through the 2013 mer

Temporary Operations Resolution Specialist – Provider Data Management

Location

Ohio

Posted

2 days ago

Salary

0

Seniority

Junior

Associate Degree1 yr expEnglish

Job Description

Temporary Operations Resolution Specialist – Provider Data Management

Trinity Health

• Preparation of all initial direct and delegated credentialing rosters for automated Provider Data Load (PDL) process • Process rejection reports from PDL process and correct any errors discovered • Education of CIN, groups, etc. for future expansion regarding direct and delegated roster formats to ensure accurate PDL • Internal audit (monitoring) of Provider Data, such as demographic changes, TIN adds, provider terms, etc.

Job Requirements

  • Associate or Bachelor’s degree preferred.
  • One to three years experience preferred in either managed care health insurance.
  • Effective Communication Skills.
  • Strong written and verbal communication skills in order to communicate in clear, concise terms to internal and external customer.
  • Analytical and problem-solving skills.
  • Experience in use of computer systems and office automation applications.
  • Knowledgeable with provider credentialing and contracting terminology.
  • Basic knowledge of healthcare claims process.

Benefits

  • Health insurance
  • Professional development opportunities

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