Provider Analyst

 Provider Analyst

Who we are

HHS Technology Group is a software and solutions company serving the needs of commercial enterprises and government agencies. We create and deliver purpose-built, modular software products, solutions, custom development, and integration services for modernization and operation of systems that support a wide spectrum of business and government needs.

What we do

HHS Tech Group creates innovative, purpose-built technology products and solutions, resulting in value and positive, quantifiable impact for our clients and the people they serve. Our vision drives the future.

Who we need

The Provider Analyst will be responsible for Call Center activities and support; focus is on healthcare providers Medicaid enrollment activity and on processing new applications and re-validation procedures pertaining to applications and ensuring enrollment process support for providers.

What you will do

The Provider Provider Analyst possess demonstrated ability to perform well under pressure, meet or exceed deadlines, be a team player and be willing to solve difficult problems. You must have excellent decision-making and critical-thinking skills. Your ability to evaluate and analyze complex information is second to none, and you have a natural desire to help people understand things that are hard to understand.

Responsibilities:

• Process large amounts of Data Entry enrollment applications
• Assess provider's requirements, clarify information, and provide solutions and/or alternatives
• Must have focus on analytical thinking, production and Medicaid policy experience.
• Document all provider enrollment inquiries in the call center and/or provider enrollment database
• This project is focused currently on reviewing Provider entries in the database (per HI Medicaid Policy), updating the records between the provider portal and the claims processing system with focus on accuracy to ensure effective transfer into the HHS DYP system.
• Available to work from 7:45 AM to 4:30 PM Hawaii Standard Time on all State business days, Monday through Friday (excluding Hawaii State holidays).

Minimum Requirements:

• At least 2 years of previous experience in a customer service support role and/or data entry role surrounding medical billing or medical credentialing or healthcare insurance industry.
• Prior experience handling Medicaid related calls is desired
• Ability to work in our onsite office in Cheyenne, WY or Honolulu, HI
• Preferred Requirements:
• 2+ years of previous experience in a customer service or support role handling inbound and/or outbound phone calls as well as email inquiries
• Experience screening, tracking, and processing Medicaid, health insurance, medical billing, or medical credentialing
• Prior experience working in a Healthcare setting and/or Medicaid State Agency, medical doctor physician office, or Medical Provider Credentialing Experience

Desired skills:

• Data Entry Experience
• Basic Computer Skills
• Strong Communication Skills
• Strong Multi-tasking Skills
• Call Center Experience Preferred
• Medical Office Experience Preferred

Job Type: Full-time      Salary: $20.00 - $30.00 per hour

Experience:

• Data entry: 2 years (Required)
• Medicaid Policy: 2 years (Required)
• Analytical thinking: 2 years (Required)
• Customer service: 2 years (Preferred)
• Medical billing: 1 year (Required)

What we offer

Please find all benefits listed here: https://hhstechgroup.com/careers/benefits-we-offer/

• Fully paid premiums on dental, vision, life insurance, and disability insurance. 
• Generously sponsored Medical Insurance 
• Generous 401k matching program (100% match up to 6%)
• Open PTO policy

HHS Technology Group's competitive Benefits Package includes but is not limited to:

• Fully paid premiums on dental, vision, life insurance, and disability insurance.
• Generously sponsored Medical Insurance
• Generous 401k matching program (100% match up to 6%)
• Open PTO policy

HHS Technology Group provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

HHS Technology Group creates software products in the healthcare insurance domain. Our software, Discover your Provider (DyP) and Discover your Data (DyD) ensure seamless modernization of monolithic, antiquated systems and leverages data science to give our customers intelligent insight of data trends pertaining to paid insurance claims. HHS Technology Group has become a valued and trusted systems integration partner for several departments within a number of State Governments. HHS Technology Group's flagship product, Discover your Provider (DyP) is a provider relations/provider enrollment solution. Components of this modular software can be re-purposed or built upon to deliver cloud based technical web services solutions. The intense growth and tremendous financial forecast we are experiencing at HHS Technology Group can largely be attributed to our successes on these initiatives.

Share Apply Apply for this position Required * Apply with First Name* Last Name* Email Address* Phone* Address Resume* We've received your resume. Click here to update it. Attach resume or Paste resume Attach resume as .pdf, .doc, .docx, .odt, .txt, or .rtf (limit 5MB) or Paste resume

Paste your resume here or Attach resume file

The following questions are entirely optional. To comply with government Equal Employment Opportunity and/or Affirmative Action reporting regulations, we are requesting (but NOT requiring) that you enter this personal data. This information will not be used in connection with any employment decisions, and will be used solely as permitted by state and federal law. Your voluntary cooperation would be appreciated. Learn more. GenderDecline to answerFemaleMale Race/EthnicityDecline to answerHispanic or LatinoWhite, not Hispanic or LatinoBlack or African-American, not Hispanic or LatinoAsian, not Hispanic or LatinoNative Hawaiian or Other Pacific Islander, not Hispanic or LatinoAmerican Indian or Alaskan Native, not Hispanic or LatinoTwo or More Races, not Hispanic or Latino Submit Application