Employer Industry: Healthcare Provider Network Administration

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Competitive benefits and compensation package
- Work remotely within California
- Supportive and collaborative work environment
- Chance to participate in special projects and contribute to team training

What to Expect (Job Responsibilities):
- Oversee receipt of and coordinate data from the provider network for entry into the provider management system
- Review and analyze data to ensure appropriate information has been provided
- Audit loaded provider records for quality and financial accuracy and provide 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 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 attention to detail and analytical skills

How to Stand Out (Preferred Qualifications):
- Bachelor's Degree
- 3+ years of Provider Claims and/or Provider Network Administration experience
- Experience in Medical Terminology, CPT, ICD-9 codes, etc.
- Intermediate skill level or higher in Access and Excel

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