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NationsBenefits

Data Engineer

Posted 4 Days Ago
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In-Office
Hyderabad, Telangana, IND
Mid level
In-Office
Hyderabad, Telangana, IND
Mid level
Manage healthcare provider credentialing records, documents, communications, applications, approvals, and data accuracy. Coordinate with providers, credentialing companies, internal specialists, and credentialing committees. Track and report credentialing status, reconcile information gaps, maintain electronic and physical files, prepare approval letters and presentations, record meeting minutes, and support special projects. The role requires healthcare credentialing experience, data and spreadsheet skills, strong communication, attention to detail, and flexibility for after-hours or weekend work.
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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. 
  • Effectively manage follow up calls and email. 
  • Maintain records for individual rendering Providers who have been credentialed and\or have applied for credentialing. 
  • Process, record, and track Provider Credentialing documents and data in processing systems and shared spreadsheets. 
  • Monitor faxes, files and other sources of incoming Provider data notifications to ensure that Provider credentialing data is processed in a timely manner. 
  • Communicate with providers to obtain updated documents as needed during and after credentialing process.  
  • Maintain both electronic and hard copies of credentialing files and ensure they go into the appropriate storage spaces. 
  • Update provider records and review for completeness and accuracy. 
  • Synthesize and report on data related to credentialing status and attainment. 
  • Draft, send, track and update Provider credentialing approval letters.  
  • 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. 
  • Coordinate with Network Accuracy Specialist to reconcile gaps in information on providers between our system and the Credentialing Report. 
  • Take minutes at monthly Credentialing Committee meetings and distribute them for record keeping and approval. 
  • Create presentations as needed.  
  • Serve as a liaison with credentialing companies. 
  • Special Projects as needed 
  • Member overflow duties, as requested 
  • Other duties as may be assigned  

Requirements:

  • Bachelor’s degree in computer science, Information Technology, or a related field or equivalent experience.
  • Healthcare credentialing experience
  • 3+ years of experience as a Data Engineer or Analytics Engineer or similar role.
  • Proficiency in SQL, Python, or other relevant programming languages.
  • Strong experience with data warehousing concepts and tools.
  • Experience with ETL tools and processes.
  • Familiarity with data visualization tools.
  • Excellent problem-solving skills and attention to detail.
  • Strong communication and teamwork abilities.
  • Knowledge of data security and compliance standards is a plus.
  • Creative mindset
  • Basic to intermediate knowledge of Microsoft Applications
  • Quick learner and self-motivated
  • Ability to work as a team member or independently
  • Calm under pressure
  • Strong problem-solving skills
  • Professional presentation and demeanor
  • Availability of working after normal business hours including weekends and holidays, when needed

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