Provider Clerk


Website Administrative

Reference Code: 5051

Position Title: Provider Clerk, 16986-1
Location: REMOTE Irving TX 75038 (Dallas/Fort Worth Area TX in CST)
Duration: 6 months contract with possible extension

Working remote from the Dallas/ Fort Worth Area (TX) in CST.
Data Entry and Computer Skills
Day to day activity will include Auditing our system to review contracts are loaded correctly and any other additional tasks or projects.
M-F 8-5PM.

Summary: Provides support services to the Provider Enrollment Department to ensure that provider correspondence is handled accurately and timely.

Essential Functions:
o Maintains order of the file room.
o Copies and sends records requested by DHH (Department of Health and Hospitals), SURS (Surveillance and Utilization Review), and the Fraud Control Unit.
o Makes new folders for all new enrollments.
o Files all requests received on currently enrolled providers.
o Updates file record labels for any name changes. Replaces worn file jackets.
o Prepares closed provider files for storage in the warehouse.
o Assists with the copying and delivery of load sheets to Files Maintenance.

o Ability to abide by policies o General knowledge of PC
o Good organizational skills
o Ability to maintain attendance to support required quality and quantity of work
o Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
o Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers

Required Education: High School Diploma or equivalent GED
Required Experience: 0-2+ years of experience Working knowledge of document handling procedures



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