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Provider Data Service Specialist - Fully Remote - Remote Eligible

Verify and maintain accurate provider data to ensure proper reimbursement and member access.
Remote
Entry Level
$17 - 28 USD / hour
1 month ago
CVS Health

CVS Health

CVS Health is a leading pharmacy and healthcare company offering prescriptions, products, and wellness services.

✨ 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.
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Provider Data Service Specialist - Fully Remote - Remote Eligible
Remote
$17 - 28 USD / hour
Remote
About CVS Health
CVS Health is a leading pharmacy and healthcare company offering prescriptions, products, and wellness services.