Healthcare Access Specialist

4 days ago


Indianapolis, Indiana, United States Med National Staffing Inc. Full time
About the Role

Med National Staffing Inc. is seeking a skilled Patient Access Representative to join our team. As a key member of our Provider Services Team, you will play a crucial role in ensuring the accuracy and completeness of provider data.

Key Responsibilities:
  • Data Entry and Validation: Enter provider data into Salesforce Pre-enrollment Portal and V12 system accurately and efficiently.
  • Error Monitoring: Monitor and review the V12 dashboard to identify and follow up on error records.
  • Manual Validation: Perform manual validation of provider information against the ODM PNM system.
  • Communication: Communicate with providers via email to update data in the PNM system or complete Provider Information Update Forms.
  • Liaison: Act as a liaison between providers, medical groups, and the health plan to resolve inquiries related to claims, eligibility, and other issues.
  • Documentation: Document requests and actions in accordance with departmental procedures.

Requirements:

  • Bachelor's Degree in Healthcare Administration or related field preferred.
  • 0-2 years of customer service, provider service, or claims experience in a managed care setting (medical office experience may substitute for this).

Compensation: The estimated salary for this position is $42,000 - $52,000 per annum, depending on experience. Benefits include comprehensive health insurance, 401(k) matching, and paid time off.



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