Overview

Provider Management Analyst I Jobs in United States at RemoteHunter

Title: Provider Management Analyst I

Company: RemoteHunter

Location: United States

1. About Our Client:

CERIS is a division specializing in clinical expertise and cost containment solutions within healthcare payments. The organization focuses on accuracy and transparency to address challenges in healthcare payment auditing. It operates with a stable and growing presence, supported by a culture that values accountability, commitment, excellence, integrity, and teamwork.

2. About the Opportunity:

The Provider Management Analyst I is tasked with verifying provider information and managing documentation requests necessary for claims auditing. This role ensures accuracy in patient, provider, and client information to facilitate proper handling of requests, contributing to the integrity and efficiency of the audit process.

3. Responsibilities:

  • Verify provider, patient, and client information for accuracy
  • Communicate issues or problems to leadership
  • Maintain production standards and quality
  • Assist team members to meet product goals
  • Forward misdirected requests promptly
  • Maintain strict confidentiality of medical records and personal information
  • Perform outbound calls as needed
  • Complete additional assigned duties

4. Requirements:

  • High School Diploma or equivalent
  • Experience in office environments
  • Ability to work independently
  • Strong organizational, analytical, and problem-solving skills
  • Attention to detail
  • Proficiency in MS Office (Word, Excel, Outlook) and Windows OS
  • Experience with outbound calling

5. Pay Range and Compensation Package:

  • Pay Range: $13.94 – $20.27 per hour
  • Compensation varies based on location, experience, qualifications, and market conditions

6. Benefits & Perks:

  • Medical insurance (HDHP) with pharmacy
  • Dental insurance
  • Vision insurance
  • Long Term Disability
  • Health Savings Account
  • Flexible Spending Account options
  • Life Insurance
  • Accident Insurance
  • Critical Illness Insurance
  • Pre-paid Legal Insurance
  • Parking and Transit FSA accounts
  • 401(k) and ROTH 401(k)
  • Paid time off

Equal Opportunity Statement:

Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.

Note:

RemoteHunter is not the Employer of Record (EOR) for this role. Our purpose in this opportunity is to connect exceptional candidates with leading employers. We help job seekers worldwide discover roles that match their goals and guide them to complete their full application directly through the hiring company's career page or ATS.

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