PROCESSING APPLICATION
Hold tight! We’re comparing your resume to the job requirements…
ARE YOU SURE YOU WANT TO APPLY TO THIS JOB?
Based on your Resume, it doesn't look like you meet the requirements from the employer. You can still apply if you think you’re a fit.
Job Requirements of Provider Data Verification Representative:
JOB REQUIREMENTS (Education, Experience, and Training):
- High School Diploma or GED as a minimum educational requirement.
- At least 2 years of experience in a call center environment, with a minimum of 6 months specializing in healthcare, medical insurance, or a related field. Proficiency in medical terminology and/or coding practices can be substituted for experience.
- Possession of any required licensures, professional certifications, or Board certifications as applicable.
- Comprehensive knowledge of medical and claim terminology, coupled with a deep understanding of the healthcare/managed care industry, service types, and general business processes preferred.
- Exceptional communication skills (written, verbal, and listening), along with strong organizational, problem-solving, leadership, customer service, interpersonal, follow-up, and data entry abilities.
- Demonstrated reliability and dependability in all tasks undertaken.
- Capacity to manage escalated situations with a customer-centric and professional approach.
- Ability to maintain a clear boundary between professional responsibilities and personal sentiments, ensuring confidentiality in all relevant situations.
- Proficiency in dissecting, organizing, and formatting diverse types of complex provider data for promotional purposes or reporting requirements.
- Skill in customizing communication styles to educate both internal and external stakeholders effectively.
- Capability to work autonomously as well as collaboratively within a team environment.
- Effective prioritization and time management skills.
- Proficiency in utilizing relevant software, hardware, and peripherals essential to job functions, including outbound dialers, data entry interfaces, Microsoft Excel, and other Office products.
- Familiarity with standard office equipment.
The salary range for this position is $17.00. Specific offers take into account a candidate's education, experience and skills, as well as the candidate's work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.
BENEFITS
We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.
Your benefits will include:
- Medical, dental, and vision coverage (low copay & deductible)
- Life insurance
- Short- and long-term disability
- 401(k) + match
- Generous Paid Time Off
- Paid company holidays
- Tuition reimbursement
- Flexible Spending Account
- Employee Assistance Program
- Summer Hours
EEO STATEMENT
MultiPlan is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, please
.Do you meet the requirements for this job?
Provider Data Verification Representative
Data Integrity Advocate
Outbound Call Center - $17.00/hour
Remote positions available
Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthcare cost management solutions.
Our commitment to diversity, inclusion and belonging are part of the fabric of our company. We strive to create a workplace that fosters mutual respect and collaboration, where every talented individual can participate and perform their best work. We are MultiPlan and we are where bright people come to shine!
You can shine with us in a Customer Service Representative position by assisting callers in an engaging and professional manner.
- You will have a steady Monday through Friday 40 hour per week schedule between the hours of 8:00 am and 6:00 pm CT (9 am to 7 pm ET, 7 am to 5 pm MT). Twice per year, employees are able to pick from available shifts.
- Earn $17.00 per hour and have the opportunity to receive an additional quarterly bonus based on performance.
- We provide an excellent paid classroom training program as well as continuous on the job coaching and mentoring. We also have advancement and growth opportunities available to employees.
- Find more information on what it's like to be a MultiPlan employee on our Careers page at
JOB ROLES AND RESPONSIBILITIES
- Initiate outbound calls to primarily contracted network providers, navigating intricate complexities to uphold the integrity of their demographic records and network standings.
- Navigate through a diverse array of up to twenty distinct campaign types monthly, each presenting unique data challenges and regulatory requirements in a fast-paced environment.
- Manage multiple providers and locations within a single call, meticulously processing 20-40 data points per provider and location with precision, utilizing outbound dialer systems or comprehensive Excel spreadsheets.
- Employ multiple extensive research tools in a single outbound call, to validate provider information when direct contact is unattainable.
- Document interactions and results with clarity and detail, ensuring comprehensive notes and accurate data updates are captured.
- Excel in a metric-driven environment, meeting rigorous standards for attendance, quality assurance, productivity, adherence, and data integrity.
- Adapt seamlessly to various campaign types in a workday, leveraging a robust wiki knowledge base and subject matter experts to navigate each encounter effectively.
- Ensure the accuracy of information updates across all company applications, prioritizing precision in data management.
- Foster collaboration across departments and disciplines, facilitating effective communication and coordination.
- Serve as a liaison to other departments to provide inquiry resolution and identify center operational issues.
- Collaborate, coordinate, and communicate across disciplines and departments.
- Ensure compliance with HIPAA regulations and requirements.
- Demonstrate Company's Core Competencies and values held within.
- Please note due to the exposure of PHI sensitive data, this role is considered to be a High Risk Role.
- The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.
Job Requirements:
JOB REQUIREMENTS (Education, Experience, and Training):
- High School Diploma or GED as a minimum educational requirement.
- At least 2 years of experience in a call center environment, with a minimum of 6 months specializing in healthcare, medical insurance, or a related field. Proficiency in medical terminology and/or coding practices can be substituted for experience.
- Possession of any required licensures, professional certifications, or Board certifications as applicable.
- Comprehensive knowledge of medical and claim terminology, coupled with a deep understanding of the healthcare/managed care industry, service types, and general business processes preferred.
- Exceptional communication skills (written, verbal, and listening), along with strong organizational, problem-solving, leadership, customer service, interpersonal, follow-up, and data entry abilities.
- Demonstrated reliability and dependability in all tasks undertaken.
- Capacity to manage escalated situations with a customer-centric and professional approach.
- Ability to maintain a clear boundary between professional responsibilities and personal sentiments, ensuring confidentiality in all relevant situations.
- Proficiency in dissecting, organizing, and formatting diverse types of complex provider data for promotional purposes or reporting requirements.
- Skill in customizing communication styles to educate both internal and external stakeholders effectively.
- Capability to work autonomously as well as collaboratively within a team environment.
- Effective prioritization and time management skills.
- Proficiency in utilizing relevant software, hardware, and peripherals essential to job functions, including outbound dialers, data entry interfaces, Microsoft Excel, and other Office products.
- Familiarity with standard office equipment.
The salary range for this position is $17.00. Specific offers take into account a candidate's education, experience and skills, as well as the candidate's work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.
BENEFITS
We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.
Your benefits will include:
- Medical, dental, and vision coverage (low copay & deductible)
- Life insurance
- Short- and long-term disability
- 401(k) + match
- Generous Paid Time Off
- Paid company holidays
- Tuition reimbursement
- Flexible Spending Account
- Employee Assistance Program
- Summer Hours
EEO STATEMENT
MultiPlan is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, please
.