Provider Data Verification Advocate

Provider Data Verification Advocate

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders - internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!

JOB SUMMARY

Data Integrity Advocate (Provider Data Verification Advocate)

Outbound Call Center - $17.00/hour

Remote positions available

• 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.
• Performance is measured by five benchmarks which includes attendance and employees receive a monthly scorecard to track progress towards performance goals.
• We provide an excellent paid two-week classroom training program. Training is conducted virtually and is mandatory for all 10 days.
• We also provide continuous on the job coaching and mentoring and have advancement and growth opportunities available to employees.
• Find more information on what it's like to be a Claritev employee on our Careers page at claritev.com

DUTIES

1. Initiate outbound calls to primarily contracted network providers, navigating intricate complexities to uphold the integrity of their demographic records and network standings.
2. 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.
3. 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.
4. Employ multiple extensive research tools in a single outbound call, to validate provider information when direct contact is unattainable.
5. Document interactions and results with clarity and detail, ensuring comprehensive notes and accurate data updates are captured.
6. Excel in a metric-driven environment, meeting rigorous standards for attendance, quality assurance, productivity, adherence, and data integrity.
7. Adapt seamlessly to various campaign types in a workday, leveraging a robust wiki knowledge base and subject matter experts to navigate each encounter effectively.
8. Ensure the accuracy of information updates across all company applications, prioritizing precision in data management.
9. Foster collaboration across departments and disciplines, facilitating effective communication and coordination.
10. Serve as a liaison to other departments to provide inquiry resolution and identify center operational issues.
11. Collaborate, coordinate, and communicate across disciplines and departments.
12. Ensure compliance with HIPAA regulations and requirements.
13. Demonstrate Company's Core Competencies and values held within.
14. Please note due to the exposure of PHI sensitive data - this role is considered to be a High-Risk Role.
15. 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.

COMPENSATION

The salary range for this position is $17/Hour. 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.