Network Customer Service Support

Genex Services, LLC; California (MO); Remote; USD 28,874 - 34,440; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k)

Tuition reimbursement

Health Savings Accounts

Flexible Spending Accounts

Job summary

An established industry player is seeking a detail-oriented individual for a full-time remote position in healthcare data management. This role involves maintaining and verifying provider data, ensuring accuracy for reimbursement processes, and supporting data transactions. The company values innovation and offers a comprehensive benefits package, including health and wellness support. If you're passionate about making a meaningful impact in the healthcare sector and possess strong analytical skills, this opportunity is perfect for you. Join a diverse and inclusive team where your contributions will be valued and recognized.

Qualifications

• 0-2 years of experience in healthcare data management or related field.
• Proficiency in Microsoft Office Suite, especially Excel.

Responsibilities

• Maintain provider data for network providers supporting claim selection.
• Ensure accurate recording of provider information for reimbursement.

Skills

Attention to detail

Analytical skills

Problem-solving skills

Verbal communication

Written communication

Ability to work independently

Team collaboration

Education

Bachelor's degree in Healthcare Administration

Bachelor's degree in Information Management

Related field degree

Tools

Microsoft Office Suite

Excel

Job description

Company Overview

The Enlyte Family of Businesses

Mitchell | Genex | Coventry

Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth.

Job Description

This is a full-time remote position that can be located anywhere in the U.S. Applicants must have current and ongoing authorization to work in the US without employer sponsorship. Must be willing to work PST timzone from 8am to 5pm.

• Maintains the Provider Data for network providers in support of claim provider selection.
• Ensures all provider information is accurately recorded and maintained to provide for proper reimbursement and access in multiple directory listings.
• Provides support for baseline provider data transactions that cannot be administered automatically through the provider database due to system limitations and/or data integrity issues.
• Outreach for verification of provider (professional and facility types) via phone calls, emails, and faxes.
• Thoroughly document all provider changes in multiple databases.
• Research and work provider group rosters in multiple formats, word and excel.
• Review and respond to reported demographic or participation concerns from clients.

Qualifications

• Bachelor's degree in Healthcare Administration, Information Management, or a related field preferred.
• 0-2 years of experience in healthcare data management or a related field.
• Proficiency in Microsoft Office Suite, particularly Excel.
• Familiarity with healthcare terminology and provider types.
• Strong attention to detail and ability to manage large volumes of data accurately.
• Excellent analytical and problem-solving skills.
• Strong verbal and written communication skills.
• Ability to work independently and as part of a team.

Benefits

We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. The expected base pay for this position ranges from $20.96 - $25.00 hourly, and will be based on a number of additional factors including skills, experience, and education.

The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.

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