Data Correction

5 Openings

Taguig City

Role description

Responsible for identifying, investigating, and correcting discrepancies in healthcare provider information within various applications and databases. This role is critical for maintaining data integrity, ensuring accurate claims processing, regulatory compliance, and smooth business operations. The specialist will work within defined service level agreements (SLAs) and quality standards.

Key Roles and Responsibilities

• Data Verification and Validation: Perform detailed reviews of provider data (e.g., demographics, credentials, network status, payment details) to identify errors, duplicates, or inconsistencies by cross-referencing multiple sources
• Error Correction: Accurately update and correct inaccurate or incomplete provider records in the system following standardized procedures
• Root Cause Analysis: Investigate the sources of data errors and report patterns to management, contr...