
Provider Data Management Specialist – Enrollment
Posted 1 day ago

Posted 1 day ago
This is a fully remote position, open to applicants in Egypt, +1 more country.
• Input, revise, and sustain provider information within internal systems.
• Verify provider credentialing data, contracts, and demographic information.
• Ensure that provider records adhere to CMS, HIPAA, and state/federal regulations.
• Perform regular audits and reconciliations to uphold data integrity.
• Examine and upload necessary data into the health plan system in accordance with process guidelines.
• Oversee and track daily operations while achieving designated targets.
• Operate independently and fulfill tasks within established deadlines with minimal oversight.
• Prioritize and complete all responsibilities associated with the role.
• Adapt to changes based on departmental and/or business needs.
• Exceptional written communication abilities in English, demonstrating clarity and precision.
• Strong reading and listening comprehension skills in English.
• Well-honed analytical, logical, and organizational skills.
• Capability to prioritize tasks effectively while processing intakes accurately and promptly.
• Sharp attention to detail with the ability to multitask in a dynamic environment.
• Strong focus on customer service.
• Proficient in the Microsoft Office Suite.
• Experience with navigating web-based applications.
• Typing speed of at least 40 words per minute, demonstrating accuracy and efficiency.
• Reliable and high-speed internet connectivity, preferably hard-wired.
• A productive and secure work setting that is free from distractions.
• Employees have the option to work remotely.
• Excellent internet connectivity, hard-wired.
• A productive and secure work environment, distraction-free.
• Confidential handling of employee information in accordance with EEO guidelines.
Power Digital Marketing
Ciena
Johnson & Johnson
BlueCross BlueShield of Tennessee
Get handpicked remote jobs straight to your inbox weekly.