The Provider Connectivity Professional 2 responds to complex inquiries relating to EDI from providers and internal departments. May help customers with modem set-up, connection protocols, etc. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
Bachelor’s degree or equivalent combination of education and experience
Strong knowledge of Microsoft products Excel, Access, PowerPoint, Visio
2 or more years of experience building reports in SSRS or a similar tool
1 or more years of experience with querying and extracting data from different data sources to include EDW, SQL, and Access databases
Ability to identify trends, communicate results, and make recommendations
Excellent organizational skills
Demonstrated verbal and written communication skills
Flexible and ability to adapt to change to support ongoing business needs
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Strong knowledge of SQL
Experience with Availity BI
Experience in HIPAA X12 transactions; Claims Submission, Claims Status, Eligibility & Benefits and Referrals & Authorization
Knowledge of provider office processes and experience working in the provider space
Remote/Work at Home Requirements
Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
A minimum standard speed for optimal performance of 25×10 (25mpbs download x 10mpbs upload) is required.
Satellite and Wireless Internet service is NOT allowed for this role.
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Scheduled Weekly Hours