Provider Network Administration Specialist

Job Summary

A company is looking for a Specialist in Provider Network Administration.

Key Responsibilities

• Supports provider network administration activities, ensuring accurate validation and maintenance of provider information
• Audits provider records for quality and financial accuracy while providing documented feedback
• Assists in resolving configuration issues and supports provider network administration projects

Required Qualifications

• At least 3 years of healthcare experience, including claims and provider network operations
• Experience in claims processing, including coordination of benefits and eligibility criteria
• Proficiency in data entry and processing
• Ability to manage multiple priorities and meet deadlines
• Proficiency in Microsoft Office suite and applicable software programs