Job Title: Data Engineer
Location: Hyderabad, India
Work Shift: EST (5 PM - 2 AM IST) Transportation will be provided
Employment Type: Full-time
Role:
Work collaboratively with the Provider Team, Call Center Specialists and other Nations Hearing employees. The person in this role will actively engage in day-to-day communications with Providers. This role requires excellent interpersonal skills to communicate effectively. They must be positive, energetic individuals with strong organizational skills, attention to detail and ability to multi-task. Basic to intermediate knowledge of Excel is required.
Key Responsibilities:
- Communicate frequently and effectively on both inbound and outbound calls to Providers. This includes fielding Provider questions, concerns or complaints related to the credentialing process.
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Effectively manage follow up calls and email.
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Maintain records for individual rendering Providers who have been credentialed and\or have applied for credentialing.
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Process, record, and track Provider Credentialing documents and data in processing systems and shared spreadsheets.
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Monitor faxes, files and other sources of incoming Provider data notifications to ensure that Provider credentialing data is processed in a timely manner.
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Communicate with providers to obtain updated documents as needed during and after credentialing process.
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Maintain both electronic and hard copies of credentialing files and ensure they go into the appropriate storage spaces.
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Update provider records and review for completeness and accuracy.
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Synthesize and report on data related to credentialing status and attainment.
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Draft, send, track and update Provider credentialing approval letters.
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Review Provider applications prior to Credentialing Committee meetings to check for possible issues in applications so that they can be easily discussed at the meetings.
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Coordinate with Network Accuracy Specialist to reconcile gaps in information on providers between our system and the Credentialing Report.
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Take minutes at monthly Credentialing Committee meetings and distribute them for record keeping and approval.
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Create presentations as needed.
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Serve as a liaison with credentialing companies.
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Special Projects as needed
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Member overflow duties, as requested
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Other duties as may be assigned
Requirements:
- Bachelor's degree in computer science, Information Technology, or a related field or equivalent experience.
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Healthcare credentialing experience
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3+ years of experience as a Data Engineer or Analytics Engineer or similar role.
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Proficiency in SQL, Python, or other relevant programming languages.
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Strong experience with data warehousing concepts and tools.
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Experience with ETL tools and processes.
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Familiarity with data visualization tools.
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Excellent problem-solving skills and attention to detail.
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Strong communication and teamwork abilities.
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Knowledge of data security and compliance standards is a plus.
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Creative mindset
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Basic to intermediate knowledge of Microsoft Applications
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Quick learner and self-motivated
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Ability to work as a team member or independently
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Calm under pressure
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Strong problem-solving skills
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Professional presentation and demeanor
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Availability of working after normal business hours including weekends and holidays, when needed
