Senior Specialist, Provider Network Administration

📋 Description

• Generate, prepare, validate, and distribute provider-related data and reports
• Maintain accurate provider information across applicable systems
• Prepare and maintain provider directories and supporting reports
• Produce additional reports and data extracts
• Review and analyze provider data for completeness and accuracy
• Audit provider records for data quality and financial accuracy

🎯 Requirements

• At least four years of healthcare experience in claims, provider services, provider network
• Hands-on claims processing experience including coordination of benefits, subrogation, and/or
• Familiarity with medical terminology, CPT, and ICD-9/ICD-10 codes
• Strong attention to detail and ability to process data accurately
• Proficiency in data entry and processing with high data integrity standards
• Strong customer service skills and ability to work with internal stakeholders

🎁 Benefits

• Annual compensation ranging from $40,851.44 to $88,511.46
• Remote position based in the United States
• Full-time employment
• Competitive compensation and benefits package