Data Engineer
NationsBenefits
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
- 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