Job Description

• Analyzing and processing provider transactions in accordance with plan provisions.
• Should follow the policy and procedure which is defined by the customer.
• Secure the PHI information. - Established working knowledge and application of a specialized technical skills.
• Understands how work impacts results for their area.
• Demonstrates knowledge of internal operations and develops relationships to facilitate workflow.
• Knowledge of related regulations and standards.
• Strong understanding of current processes and procedures and may identify opportunities for improvement.
• Completes a wide range of tasks and assignments.
• Projects and assignments are typically non-routine and variable in nature.
• Resolves more complex situations by applying demonstrated knowledge and skills generally acquired through job experience.