Provider Systems Data Specialist II
Partnership HealthPlan of California · Fairfield, California, US
Overview To maintain accurate provider information by entering necessary data elements into several database systems. Works closely with team members and oth...
Job description
Overview To maintain accurate provider information by entering necessary data elements into several database systems. Works closely with team members and other departments to research and resolve routine and complex issues and inquiries related to provider data. In addition to the Provider Systems Data Specialist I duties, the Provider Systems Data Specialist II has a higher level of experience, more autonomy, and more complex assignments. Responsibilities: - Reviews forms for completion and researches and resolves routine discrepancies. - Understands the complexities of the organization's core system and possesses knowledge to assess provider changes to accurately enter and maintains routine and complex provider demographic information into several database systems. - Interacts with providers by telephone to obtain information necessary to maintain updated records. - Monitors the help desk and researches, resolves, and responds to inquiries from other departments. - Responds to routine telephone inquiries using an ACD telephone system. - Recommends updates to procedures and improvements to processes. - Prepares documents, logs, and reports using Microsoft Word and Excel. - Files b...