Provider Records Advisor

TYPICAL ASSIGNMENTS

* Responds to written and telephone inquiries, using proper etiquette, from providers regarding their Delta records (dental and vision), processed claims and 1099 questions

* Responds to all questions related to a provider's record including specialty agreements and W-9 information

* Establishes electronic funds transfers (EFT) records when appropriate

* Establishes and maintains group practice records

* Researches inquiries by accessing the provider, National Provider File (NPF) and claims processing system and other resources

* Establishes and maintains all provider records

* Processes claims in the Provider Records electronic systems

* Operates office equipment which may include personal computer, photocopier, scanner, calculator, fax, etc.

 

This description is intended to indicate the general responsibilities and level of work difficulty that will be required of positions given this title, and should not be construed as declaring what the specific duties and responsibilities of any particular position should be.

Bidding Requirements:

 

* Possess a high school diploma or equivalent

 

* Two years of work experience in an office environment.

 

* Ability to begin work at 7:30 a.m. or be required to work until 5:00 p.m. (rotating basis)

 

* Successful completion of a data entry test sponsored by Human Resources within the past 12 months / 7,000 keystrokes per hour with 95% accuracy (test waived if candidate currently holds or has previously held a CRT Operator position)

 

* Successful completion of a typing test administered by Human Resources within the past 12 months with a typing speed of 40 correct words per minute (minimum of 90% accuracy) (test waived if candidate currently holds a position that requires at least 40 correct words per minute.)

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.