Provider Data Support Specialist
Who are we?
Versant Health is one of the nation’s leading administrators of managed vision care, serving millions of our clients’ members nationwide. We are driven by our mission to help members enjoy the wonders of sight through healthy eyes and vision.
As a Versant Health associate, you can enjoy a comprehensive Total Rewards package, which includes health and dental insurance, tuition reimbursement, 401(k) with company match, pet insurance, no-cost-to-you vision insurance for you and your qualified dependents. We are also invested in your success. There are many opportunities for advancement and development throughout all stages of your career with us.
See how you can make a difference with the support of strong leadership and a team environment.
See Everything, Be Anything™.
What are we looking for?
The Provider Data Support Specialist role is responsible for accurately managing network data spanning all of Versant Health’s two national networks of 80,000+ Ophthalmology and Optometric practitioner’s and office’s demographic and payee data. The role performs additions, changes, and terminations to Versant Health’s data systems to positively affect the accuracy of the Provider Directory, Utilization Management and authorizations, and claims processing.
Where you will have an impact.
- Responsible for comprehensive review, editing, updating existing, and new provider, office, and payee records as needed and as requested. Requires review of documentation and reports, as well as acting on requests from internal and external customers.
- Responsible for terminating provider, office, and payee records as requested using correct termination reason codes to determine controllable and noncontrollable terminations. Requires review and validation of relevant documentation and reports, as well as acting on requests from internal and external customers.
What’s necessary to do the job?
- 1-2 years of data entry experience preferred within a managed care organization
- Capable and comfortable dealing with Protected Health Information (PHI),Personal Identifiable Information (PII), sensitive, and confidential information with discretion and trust.
- Strong data entry skills
- Required: Proficiency in Microsoft Office Excel, Word, Access, and Power Point.
Competencies
- Accuracy
- Analytical
- Attention to detail
- Communication
- Customer/client service focused
- Organized
- Problem Solving
- Teamwork
HIPAA & Security Requirements
All Associates must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. As a component of job roles and responsibilities, Associates may have access to covered information, cardholder data or other confidential customer information which must be protected at all times. As a result, Associates must explicitly adhere to all data security guidelines established within the Company’s Privacy & Security Training Program.
Versant Health will never request money from candidates who seek employment with us and will never ask for any payment as part of the recruitment process.
Versant Health is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at Versant Health without regards to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.
The wage range for applicants for this position is $21.50/hour
All incentives and benefits are subject to the applicable plan terms.
