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Provider Data and Claims Process Specialist in Glen Allen, VA at Vaco

Date Posted: 3/2/2018

Job Snapshot

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Job Description

Medical Billing and Provider Data Specialist Positions - mulitple openings available! Apply here to be considered


  • Researches and resolves issues with claims, including denials and appeals for assigned payergroup.
  • Identifies discrepancies and effectively works toward their resolution or communicates to other personnel for resolution as is appropriate.
  • Effectively communicates with other revenue management staff and management, including potential changes to PayerPro, changes in fee schedule, need for prior authorization, etc.
  • Process daily EDI Enrollments and inquiries
  • Process all vendor adds and edits to the provider dictionary
  • Research and resolve inquiries from internal and external customers in a timely manner to expedite payment
  • Elicit W-9 forms from non- par providers and forward to Finance
  • Rectify data discrepancies found on the Vendor Dictionary cleanup reports
  • Assist with resolution of returned mail issues due to bad addresses
  • Review, Research and Respond to voicemail messages from the shared voice mail box
  • Resolve provider setup issues identified by the Macess Pend queues (for all lines of business in IDX).
  • Performs other duties as assigned


  • High School diploma or GED Required.
  • Associates Degree in Business, Healthcare or Related Field is Preferred