+ Analyzing and processing provider transactions in accordance with plan provisions. + Should follow the policy and procedure which is defined by the customer. + Secure the PHI information. - Established working knowledge and application of a specialized technical skills. + Understands how work impacts results for their area. + Demonstrates knowledge of internal operations and develops relationships to facilitate workflow. + Knowledge of related regulations and standards. + Strong understanding of current processes and procedures and may identify opportunities for improvement. + Completes a wide range of tasks and assignments. + Projects and assignments are typically non-routine and variable in nature. + Resolves more complex situations by applying demonstrated knowledge and skills generally acquired through job experience.