Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Competitive benefits and compensation package
- Collaborative work environment with a focus on staff training
- Chance to work on special projects and contribute to provider network management
- Emphasis on maintaining high-quality provider data for operational success

What to Expect (Job Responsibilities):
- Oversee the receipt of and coordinate data from the provider network for entry into the provider management system
- Review and analyze provider data to ensure accuracy and compliance with requirements
- Audit provider records for quality and financial accuracy, providing documented feedback
- Assist with configuration issues in collaboration with corporate team members
- Participate in training for current staff and new hires as necessary

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 processing, provider services, or similar areas
- Background in claims processing, including coordination of benefits and eligibility criteria
- Strong attention to detail and analytical skills

How to Stand Out (Preferred Qualifications):
- Bachelor's degree in a related field
- 3+ years of experience in Provider Claims and/or Provider Network Administration
- Familiarity with medical terminology, CPT, and ICD-9 codes
- Intermediate skill level in Access and Excel

#HealthcareServices #ProviderNetwork #CareerOpportunity #QualityAssurance #ManagedCare

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