OR Provider Technical Specialist Remote

JOB SUMMARY/PURPOSESummary: 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 DESCRIPTIONDescription: 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 JOB DUTIESEnters and updates provider demographic address and affiliation information in internal routine data validation checks to ensure accuracy and basic provider change forms and credentialing provider directory updates and required audit discrepancies or complex data issues for documentation and follows established with compliance-driven data maintenance and performs other duties as year of administrative data entry or healthcare operations school diploma required; associate degree understanding of healthcare or managed care accuracy in data to follow defined workflows and in front-end user tools in data management platforms. (e.g. databases cloud data warehouses etc.)Proficiency in Microsoft SharePointHealth plan experience is strongly preferred particularly in one or more of the following areas:Provider RelationsReferral AuthorizationProvider Data MaintenanceClaims ProcessingKNOWLEDGE/SKILLS/ABILITIESEffective time management skills and ability to identify when guidance is needed to prioritize entry and time managed care and to follow orientation.

Shift: Days (0800-1630) Remote no weekends

Specialty Type: Clerical

Sub Specialties: Clerical/Office Assistant/Support

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