Provider Network Administration Specialist

Job Summary

Providing support for provider network administration activities, the full-time remote Provider Network Administration Specialist will ensure accurate validation and maintenance of critical provider information across claims and databases while adhering to business requirements.

Key responsibilities

• Receive and update provider-related information in applicable computer systems
• Audit provider records for quality and financial accuracy, providing documented feedback
• Assist in resolving configuration issues and support 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
• Strong data entry and processing skills
• Ability to manage multiple priorities and meet deadlines
• Proficiency in Microsoft Office suite and applicable software programs