Provider Data Management Specialist – Enrollment

Posted 1 day ago

This is a fully remote position, open to applicants in Egypt, +1 more country.

📋 Description

• 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.


⛳️ Requirements

• 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.


🏝️ Benefits

• 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.

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