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 in a collaborative and supportive team environment
- Engage in special projects and training initiatives
- Chance to contribute to the accuracy and quality of provider information

What to Expect (Job Responsibilities):
- Oversee the receipt and coordination of provider data for entry into the provider management system
- Review and analyze provider data to ensure accuracy and compliance
- Audit loaded provider records for quality and financial accuracy, providing documented feedback
- Assist in configuration issues and collaborate with corporate team members
- Train 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, Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar
- Background in claims processing, including coordination of benefits, subrogation, and/or eligibility criteria
- Intermediate skill level in Access and Excel

How to Stand Out (Preferred Qualifications):
- Bachelor's Degree
- 3+ years of Provider Claims and/or Provider Network Administration experience
- Familiarity with Medical Terminology, CPT, and ICD-9 codes

#Healthcare #ProviderNetwork #CareerGrowth #ClaimsProcessing #HealthcareAdministration

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.