JOB SUMMARY/PURPOSE Summary: The Provider Technical Specialist performs routine provider data entry updates and validation tasks. This role ensures timely and accurate maintenance of provider demographic and contractual data while supporting directory accuracy and compliance. DEPARTMENT DESCRIPTION Description: The Provider Data Management department within Network Management maintains provider data integrity across all systems supports network accuracy for claims and directories and collaborates with internal teams such as Provider Relations Credentialing and Configuration to ensure operational efficiency and compliance. TECHNICAL JOB DUTIES Enters and updates provider demographic address and affiliation information in internal systems. Performs routine data validation checks to ensure accuracy and completeness. Processes basic provider change forms and credentialing updates. Supports provider directory updates and required audit cycles. Routes discrepancies or complex data issues for escalation. Maintains documentation and follows established SOPs. Assists with compliance-driven data maintenance tasks. Accepts and performs other duties as assigned. EXPERIENCE/EDUCATION/QUALIFICATIONS 1 year of administrative data entry or healthcare operations experience. High school diploma required; associate degree preferred. Basic understanding of healthcare or managed care operations. Demonstrated accuracy in data entry. Ability to follow defined workflows and procedures. Proficiency in front-end user tools in data management platforms. (e.g. databases cloud data warehouses etc.) Proficiency in Microsoft SharePoint Health plan experience is strongly preferred particularly in one or more of the following areas: Provider Relations Referral Authorization Provider Data Maintenance Claims Processing KNOWLEDGE/SKILLS/ABILITIES Effective time management skills and ability to identify when guidance is needed to prioritize workload. Data entry accuracy. Organization and time management. Basic managed care concepts. Communication and collaboration. Ability to follow SOPs. Detail orientation.
Shift: Days (0800-1630) Remote no weekends
Specialty Type: Clerical
Sub Specialties: Clerical/Office Assistant/Support
General Certifications: N/A
Please CLICK HERE to view details.
Youll never receive recurrent notifications aggressive phone calls or overbearing messages from us. Just support! A US based healthcare staffing firm Lamb Company has been serving healthcare workers so that healthcare workers may serve their patients since 2019. Our team consists of individuals with likeminded goals to have a heart for providing quality care for patients that without our help may not receive any. Our job is to find a site that matches well with you and develop a plan to safely and effectively get you implemented into that system. As a small company with owners that are healthcare workers themselves we understand the difficulty of starting new and finding a home where you are appreciated. We are always available and aim to find you the employment of your dreams. Please reach out with any questions which you may have!
JOB SUMMARY/PURPOSE Summary: The Provider Technical Specialist performs routine provider data entry updates and validation tasks. This role ensures timely and accurate maintenance of provider demographic and contractual data while supporting directory accuracy and compliance. DEPARTMENT DESCRIPTION ...
JOB SUMMARY/PURPOSE Summary: The Provider Technical Specialist performs routine provider data entry updates and validation tasks. This role ensures timely and accurate maintenance of provider demographic and contractual data while supporting directory accuracy and compliance. DEPARTMENT DESCRIPTION Description: The Provider Data Management department within Network Management maintains provider data integrity across all systems supports network accuracy for claims and directories and collaborates with internal teams such as Provider Relations Credentialing and Configuration to ensure operational efficiency and compliance. TECHNICAL JOB DUTIES Enters and updates provider demographic address and affiliation information in internal systems. Performs routine data validation checks to ensure accuracy and completeness. Processes basic provider change forms and credentialing updates. Supports provider directory updates and required audit cycles. Routes discrepancies or complex data issues for escalation. Maintains documentation and follows established SOPs. Assists with compliance-driven data maintenance tasks. Accepts and performs other duties as assigned. EXPERIENCE/EDUCATION/QUALIFICATIONS 1 year of administrative data entry or healthcare operations experience. High school diploma required; associate degree preferred. Basic understanding of healthcare or managed care operations. Demonstrated accuracy in data entry. Ability to follow defined workflows and procedures. Proficiency in front-end user tools in data management platforms. (e.g. databases cloud data warehouses etc.) Proficiency in Microsoft SharePoint Health plan experience is strongly preferred particularly in one or more of the following areas: Provider Relations Referral Authorization Provider Data Maintenance Claims Processing KNOWLEDGE/SKILLS/ABILITIES Effective time management skills and ability to identify when guidance is needed to prioritize workload. Data entry accuracy. Organization and time management. Basic managed care concepts. Communication and collaboration. Ability to follow SOPs. Detail orientation.
Shift: Days (0800-1630) Remote no weekends
Specialty Type: Clerical
Sub Specialties: Clerical/Office Assistant/Support
General Certifications: N/A
Please CLICK HERE to view details.
Youll never receive recurrent notifications aggressive phone calls or overbearing messages from us. Just support! A US based healthcare staffing firm Lamb Company has been serving healthcare workers so that healthcare workers may serve their patients since 2019. Our team consists of individuals with likeminded goals to have a heart for providing quality care for patients that without our help may not receive any. Our job is to find a site that matches well with you and develop a plan to safely and effectively get you implemented into that system. As a small company with owners that are healthcare workers themselves we understand the difficulty of starting new and finding a home where you are appreciated. We are always available and aim to find you the employment of your dreams. Please reach out with any questions which you may have!
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