Provider Data Maintenance Specialist
Job Posting for Provider Data Maintenance Specialist at Virtual Employee Services (I)
Responsibilities:
- Contracting, credentialing and maintaining Facility / Professional provider data to support marketing, network contracting across all lines of business.
- Supporting the implementation of special projects, assisting with tracking of various phases of a project and managing workflow.
- Assisting management in familiarizing and training team members with the various business rules in network contracting and credentialing across all lines of business.
- Identifying gaps in processes and suggesting process improvement strategies.
Requirements:
- Bachelor degree plus 1 year of experience with Provider Network contracting and credentialing systems OR 5 years of experience in the Health Care industry.
- Written and verbal communication skills including interpersonal skills. Skills to develop training materials and act as an advisor to staff
- Experience and proficiency inn Microsoft Office software products including analytical tools. Experience developing reports.
Preferred Requirements:
- Subject Matter Expert for the Professional Provider Credentialing Process
- 2 years of experience with current government sponsored health insurance networks
- Knowledge of health care delivery systems, claim costing analytics, and provider network adequacy analytics
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Salary.com Estimation for Provider Data Maintenance Specialist in Tulsa, OK
$87,072 to $114,239
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