Provider Tech Support Analyst II

Job not on LinkedIn

🔥 7 minutes ago

🦌 Connecticut, New Jersey, +2 more states – Remote

🦌 Connecticut – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🔔 Pennsylvania – Remote

💵 $63k - $84.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📞 Support Engineer

👻 Ghost score 17%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Horizon Connect @ Wall BCBSNJ

WebsiteLinkedInAll Job Openings

2 - 10 employees

⚕️ Healthcare Insurance

🏥 Healthcare

Healthcare Insurance • Healthcare

Horizon Connect @ Wall BCBSNJ is a LinkedIn presence or local program/office associated with Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ). Based on the name and context, it appears to be connected to Horizon BCBSNJ’s health insurance operations and local outreach or member/provider engagement in the Wall, NJ area. Publicly available information provided is limited and mostly LinkedIn site chrome rather than a company profile, so this description is conservative and based on the affiliation indicated by the name.

📋 Description

• Provide support to Network Data Management and departments utilizing provider data, including screening provider loading. • Coordinate procedural aspects related to Government Programs provider systems. • Assist with direction and supervision activities of the Provider File Area to ensure accurate, complete, and timely maintenance of Government Programs provider data files. • Resolve provider data errors by identifying causes, recommending improvements, identifying strengths, and documenting best practices. • Investigate incidents impacting data integrity and programs to analyze trends and potential vulnerabilities. • Assist in preparing, developing, and analyzing specifications for system enhancements and modifications. • Produce specifications and user testing criteria and secure appropriate documentation to assure accurate data in files. • Evaluate and recommend improvements to operating procedures to enhance efficiency and controls. • Handle important or sensitive projects and priorities requiring a high degree of attention. • Produce departmental quality and production reporting, including vendor audits. • Represent the department on workgroups and committees.

🎯 Requirements

• High School Diploma/GED required. • Minimum of 5 years relevant work experience in provider data management in Healthcare/ insurance is required. • A valid driver's license and access to an automobile is required. • Prefer a comprehensive understanding of healthcare. • Prefer an understanding of healthcare provider and claims systems. • Prefers and understanding of indemnity and managed care business and procedures. • Must be proficient in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Outlook; should be knowledgeable in the use of intranet and internet applications. • Requires excellent attention to detail. • Requires excellent analytical abilities and the ability to report findings accurately. • Requires excellent oral and written communication skills. • Requires the ability to interact with all levels of personnel and management. • Requires the ability to organize and prioritize work assignments. • Requires the ability to work independently and exercise sound business judgment. • Prefer the ability to understand medical terminology and medical procedures. • Employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware.

🏖️ Benefits

• Comprehensive health benefits (Medical/Dental/Vision) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • Paid Volunteer Time Off • Tuition Reimbursement

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