✨ About The Role
- The Provider Data Service Specialist is responsible for maintaining accurate provider demographic and contractual information for network and non-network providers.
- This role involves developing and maintaining standards for database integrity and managing communication processes regarding database improvements.
- The specialist will provide support for baseline provider data transactions that cannot be processed automatically due to system limitations.
- Responsibilities include performing demographic transaction updates in provider system applications to support claim adjudication and provider directory accuracy.
- The position requires conducting audits of provider information and escalating issues for resolution as necessary.
âš¡ Requirements
- The ideal candidate will have at least 6 months of healthcare experience, which may include medical office experience, medical billing/coding, or data entry.
- Proficiency in Excel is essential, as well as demonstrated skills in using Microsoft Office products and navigating the internet.
- Strong communication skills are important for effectively responding to network inquiries and conducting research activities.
- A detail-oriented individual who can maintain database integrity and perform audits of provider information will excel in this role.
- The candidate should be comfortable working in a remote environment and managing communication processes with various departments.