Remote Jobs
Specialist, Provider Network Administration
What's your preference?
Job Description
- Req#: 300001606881372
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Competitive benefits and compensation package
- Remote work opportunity available for California residents
- Supportive and collaborative work environment
- Chance to contribute to the accuracy and quality of provider information
What to Expect (Job Responsibilities):
- Oversee the receipt and coordination of data from the provider network for entry into the provider management system
- Review and analyze data to ensure the accuracy of the information provided
- Audit loaded provider records for quality and financial accuracy, providing documented feedback
- Assist in configuration issues with Corporate team members
- Conduct or participate in special projects as requested
What is Required (Qualifications):
- Associate degree in Business or equivalent combination of education and experience
- Minimum of 3 years of managed care experience
- Experience in Claims, Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar
- Claims processing background, including coordination of benefits, subrogation, and/or eligibility criteria
- Exceptional analytical and communication skills
How to Stand Out (Preferred Qualifications):
- Bachelor’s Degree
- 3+ years of Provider Claims and/or Provider Network Administration experience
- Experience with Medical Terminology, CPT, ICD-9 codes, etc.
- Intermediate skill level in Access and Excel
#HealthcareServices #RemoteWork #CareerOpportunity #ProviderNetworkAdministration #CompetitiveBenefits
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
The best remote jobs for you
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.