Driven Provider Data Specialist II with a proven track record at Centene Corporation, adept in HIPAA Compliance and Data Management. Excelled in updating provider data to enhance claim processing accuracy, demonstrated by reducing aging claims significantly. Known for exceptional multitasking abilities and reliable communication, consistently delivering results beyond expectations.
*Work claims that pend NQ
*Update Provider Demographic Information
*Update provider payclass and other attribute fields to ensure accurate data is input for claims to process accurately
*Send daily inventory report via email that includes the oldest aging claims
*Assign claims to be worked by oldest aging
*Work daily SNF report
* Toggle between multipe screens on a daily basis and use systems including but not limited to golden, cenprov, cenpas. portico
*Work cases from Cenprov requesting provider loads or/and demograpic update