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Job Title: Provider Data Specialist

Industry: Healthcare

Duration: Temporary, ASAP – 3 months w/ possible extension

Hours: Full-time, Normal business hours *working hours may change based on business needs*

Location: Honolulu, HI

Parking: Provided

Pay Rate: $16.00/hour

Join our ohana! This is a local, non-profit health plan with offices on Oahu, Big Island, Maui and Kauai. With nearly 200 employees and 2,200 physicians, specialists and providers, this company’s aloha spirit and family-knit culture will allow you to feel “at home” right at work.

Position Summary:

To coordinate a demanding workload serving as the primary data entry point for provider and contract information into QNXT. This position requires the use of judgment and initiative to determine the best approach or action for non-routine situations, and it includes detailed and focused tasks that must be completed with a high degree of efficiency and accuracy. Tasks include handling confidential information that must be continuously safeguarded.

Description:

• Perform initial and updated provider data entries and contract designations in QNXT with a high degree of accuracy.

• Conduct research in both the Contracts Module and Claims Module of QNXT to determine how or why contract data may be causing delays to claims processing

• Complete necessary QNXT entries and/or make adjustments to the Provider Contracts Module to allow pended claims to process

• Ensure that the section of the Local Use Report assigned to the Contracts and Credentialing Department is cleared and corrected in a timely manner

• Provide contract information and status updates to the Provider Relations Department and other AlohaCare departments as needed

• Advise and consult with the Contracts Data Supervisor and Credentialing Coordinator Lead regarding provider contract set-up and configuration in QNXT

• Consult with Credentialing Coordinator Lead on new and re-credentialed provider contract and demographic updates from Intellicred.

• Act as the department “Super User” for QNXT system changes, attending all meetings and trainings and thereafter training department staff

• Organize and prioritize workload daily.

• Appropriately safeguard all confidential provider data at all times

• Provide back-up assistance for other contracting data management and credentialing tasks as needed

• Other duties as assigned

• Responsible to maintain organization’s confidential information in accordance with organizational policies, and state and federal laws, rules and regulations regarding confidentiality. Employees have access to organizational data based on the data classification assigned to this job title.

Requirements:

• High school diploma or equivalent combination of education and experience

• Two - three years of clerical experience

• Data entry experience with a high degree of accuracy and attention to detail

• An understanding of medical professional specialties, academic degrees, and contract terms

• Working knowledge of Microsoft Office (Word, Excel & Outlook)

• Good organizational, time management and analytical skills

• Flexibility and adaptability to changing priorities

• Positive attitude and ability to accept direction

• Ability to work with different people and personalities

• Ability to concentrate for long periods of time

• Attention to detail

• Word processing skills of 45-60 wpm with a high degree of accuracy

ID# 1614095

All offers are contingent upon the successful completion of background and reference checks. In addition, the following health screens are required:

• Must show proof of being fully vaccinated against COVID-19 unless a reasonable accommodation is approved. If partially vaccinated, or approved for a vaccine exemption, employees must comply by submitting weekly negative test results from an approved COVID-19 test (PCR or NAAT).

Interested Applicants: Please visit us online at www.staffingsolutionsofhawaii.com to view additional positions. Applications will only be reviewed for applicants currently living in the state of Hawaii and who are available for an interview with Staffing Solutions. #SSOH

Why work with Staffing Solutions of Hawaii:

• We are a local, award winning, and growing privately owned agency in business for 25 years

• Employees enjoy competitive pay, stimulating careers, and excellent growth opportunities!

• We have over 120 job positions including full-time, part-time, and internship opportunities inclusive with medical benefits options

• We partner with 100+ organizations in Hawaii, such as Kaiser Permanente, Bank of Hawaii, Hawaiian Airlines, Hilton Grand Vacations, KHON 2 News and many more!

We are proud to be an Equal Employment Opportunity and Affirmative Action employer, including females, minorities, protected Veterans and those with disability.