Overview
Data Management Specialist Jobs in Maryland Heights, Missouri, USA at Astyra
Position: Contract and Data Management Specialist
Job Description
Job Description
Contract and Data Management Specialist
* This is a 6-month contract position with a possibility of extension – Remote, and it can sit anywhere in the US.
* Monday – Friday Start: 8 am/9 am End time: 4 pm/5 pm CST preferred
** Summary**
Responsible for all duties associated with contract administration including timely, accurate data entry and maintenance of provider records in multiple databases.
Researches and resolves questions, and complaints, and ensures that information in all databases is accurate and properly configured to support operations.
May help train lower-level peers.
Job Description
Performs review and analysis of incoming contractual documents for completeness, historical activity, and timely, accurate provider record set-up and data entry.
Communicates extensively with Field Network staff and Provider community regarding contract documentation questions and concerns; obtains missing documents/elements for processing.
Determines appropriate network participation status; investigates the accuracy of network affiliations and contract/rate documents to ensure accuracy of reimbursement to providers.
Executes appropriate contractual documents; updates network affiliations in the provider database to reflect participation status, requests correspondence to providers to communicate contract status and effective dates.
Links group members to appropriate group practices.
Ensures accuracy of TIN, service addresses, and network affiliation status based on group network affiliations.
Conducts investigations concerning historical associations with previous group practices and individual contracts.
Researches and responds to providers and other internal staff regarding complex inquiries.
Responds to requests to update or change information and ensure that all changes are made within operational guidelines to accurately support all other systems related functions.
Supports the implementation of new business by ensuring providers are appropriately and accurately loaded in all applicable systems.
Supports internal auditing process to ensure data accuracy and integrity.
Ensures all assigned duties are completed within expected time frames.
Performs other duties and special projects as assigned.
Top 3 Must-Have Skills:
Data Management experience
Contract management experience
Experience working with Health insurance
1+ years of experience
Top Nice-To-Have Skills:
Excel Experience
AS 400 Software experience
Education:
High School Diploma/GED
Attention Applicants:
Please be advised that proper email communication will only be sent from email addresses ending in  Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. It is important to communicate within our guidelines and proper channels to expedite possible interview considerations.
#AC
Title: Data Management Specialist
Company: Astyra
Location: Maryland Heights, Missouri, USA
Category: Healthcare (Healthcare Administration, Medical Billing and Coding), Administrative/Clerical (Healthcare Administration)
