Provider Data Management Specialist – Enrollment

Posted 6 days ago

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

πŸ“‹ Description

β€’ Input, update, and manage provider information within internal health plan systems.

β€’ Verify provider credentialing data, contracts, and demographic details.

β€’ Ensure that provider records adhere to CMS, HIPAA, and state/federal regulations.

β€’ Perform routine audits and reconciliations to uphold data integrity.

β€’ Review and upload necessary data into the health plan system following process guidelines.

β€’ Oversee and track daily activities to achieve set targets.

β€’ Operate independently and accomplish tasks within defined timeframes with limited supervision.

β€’ Prioritize and complete all assigned responsibilities.

β€’ Adapt to changes driven by departmental and/or business needs.


⛳️ Requirements

β€’ Exceptional written communication skills in English, ensuring clarity and precision.

β€’ Strong reading and listening comprehension abilities in English.

β€’ Well-honed analytical, logical, and organizational skills.

β€’ Capability to prioritize tasks and accurately process intakes in a timely manner.

β€’ Acute attention to detail and capacity to multitask in a dynamic environment.

β€’ Strong focus on customer service.

β€’ Proficiency in the Microsoft Office Suite.

β€’ Experience using web-based applications.

β€’ Typing speed of at least 40 words per minute with both accuracy and efficiency.

β€’ Reliable internet connectivity, preferably hard-wired.

β€’ A productive, secure, and distraction-free workplace.


🏝️ Benefits

β€’ Opportunity for remote work.

β€’ Excellent internet connectivity, hard-wired.

β€’ A productive and secure work environment, free from distractions.

β€’ Equal Employment Opportunity (EEO) and legally protected status protections.

β€’ Confidential management of employment information.

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