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Provider Maintenance Technician
Ref No.: 18-10157
Location: Doral, Florida
Start Date / End Date: 08/20/2018 to 12/31/2018
Rec ID: 8300342
Job Title: Provider Maintenance Technician
Location: Doral, FL
Duration: 3 Months



Description:
  • Under the direct supervision of the Provider Maintenance Supervisor, the Provider Maintenance Technician I is responsible for maintaining both participating and non-participating provider records in the provider database.
  • Demonstrates and supports commitment to corporate goals and mission. Required to attend training on an as needed basis.
  • Performs other related duties and projects as assigned.

Principal Accountabilities:
  • Maintains the provider database for both participating and non-participating provider adds, changes and terminations.
  • Researches and resolves returned provider correspondence.
  • Responsible for working on projects assigned by Supervisor.
  • Performs other related duties and projects as assigned.
  • Adheres to ACFC policies and procedures.
  • Attends required training on an annual basis.

Competencies/Success Factors:
  • Ability to enter/change provider information in Facets and meet the minimal accuracy standard.
  • Meets turn-around time standard for provider additions, changes and terminations and all work assigned according to the deadline assigned.
  • Demonstrates excellent judgment and decision-making skills to complete assignment accurately and timely.
  • Demonstrates flexibility and team support to ensure efficient, effective operations, which crosses all LOBs.
  • Ability to respond to extreme needs such as backlogs and staff constraints by contributing above and beyond routine work effort and hours.
  • Ability to work well with co-workers and create a positive work environment
  • Demonstrates a willingness and aptitude to be cross-trained in other functions to ensure efficient operations during times of peak volume or low staffing.

Required Skills:
  • 1+ year previous experience working with claims and/or provider demographic information.
  • 2+ year's previous data entry experience.
  • Ability to use MS Excel to manage work items and manipulate data.
  • Previous experience working with healthcare providers
  • Proficiency with medical terminology
  • Previous experience working with Facets preferred
  • Previous experience working with EXP Macess preferred.

Education:
  • High School Diploma/GED required.
  • Associates' Degree or equivalent combination or education and work experience preferred.

Required Skills:
  • CLAIMS
  • DATA ENTRY
  • EXCEL
  • FACETS
  • MAINTENANCE

Additional Skills:
  • MEDICAL TERMINOLOGY
  • MS EXCEL
  • OPERATIONS
  • STAFFING
  • TERMINATIONS
  • CORRESPONDENCE
  • DATABASE
  • DATABASES
  • MICROSOFT EXCEL
  • OFFICE MEDICAL
  • TRAINING