Temp - Administrative - Managed Care Clerk (Days) Dallas, TX

IMCS Group Inc

  • Dallas, TX
  • 25 days ago
  • Remote

    Highlights

    Ensures provider profiles, including name changes, practice locations, attestations and any other required payor data are up to date in the appropriate systems and/or databases (i.e., CAQH, PECOS, etc.). Responsibilities - Supports the payor and provider enrollment processes by working collaboratively with key stakeholders to ensure provider information is current and accurate.

    Numbers & Facts

    LocationDallas, TX (
    Remote
    )

    Description

    Title: Temp - Administrative - Managed Care Clerk (Days) Dallas, TX

    Description: REMOTE POSITION. ONLY CONSIDERING CANDIDATES LIVING IN TEXAS.

    Responsible for supporting the insurance credentialing process and provider enrollment by ensuring accurate provider information is maintained.

    Responsibilities - Supports the payor and provider enrollment processes by working collaboratively with key stakeholders to ensure provider information is current and accurate. - Assists Managed Care, Provider Enrollment and other Parkland Health teams with synchronization of provider data among multiple systems. - Works collaboratively with Parkland Health teams to resolve issues related to provider information in a timely manner. - Performs Provider Enrollment and re-attestation activities for Medicare and Medicaid, through the PECOS and State Medicaid system. - Ensures provider profiles, including name changes, practice locations, attestations and any other required payor data are up to date in the appropriate systems and/or databases (i.e., CAQH, PECOS, etc.). - Participates on special projects or audits as requested.

    - Assist with data reconciliation as requested. - Displays professional accountability by: - Adhering to Parkland Health policies, procedures, and guidelines. - Completing assigned training and annual health requirements timely. - Recognizing and communicating ethical and legal concerns through the established channels of communication. - Demonstrating accountability and responsibility by independently completing projects and assignments on time and providing timely responses to requests for information. - Maintaining confidentiality at all times. - Performing other work as requested that is reasonably related to the employee's position, qualifications, and competencies.

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