Network Data Specialist

Banner Health; Mesa (AZ); Remote; USD 50,000 - 70,000; Full time

Job summary

A leading healthcare organization is seeking a dedicated professional to manage provider data and ensure accuracy in healthcare operations. This role offers the flexibility of remote work and opportunities for career advancement. Ideal candidates will have experience in provider network planning and strong analytical skills, particularly with Excel. Join a supportive team that values collaboration and aims to make a positive impact in healthcare data management.

Qualifications

• Minimum of one year of provider network planning or operations experience.
• Strong knowledge of managed care reimbursement strategies.

Responsibilities

• Maintain accurate provider demographics and related data.
• Assist in educating providers on data requirements.
• Identify and resolve managed care issues.

Skills

Excel

Communication

Education

Bachelor’s degree in business

Bachelor’s degree in healthcare administration

Job description

Employer Industry: Healthcare

Why consider this job opportunity:
- Salary up to $(amount)
- Opportunity for career advancement and growth within the organization
- Work remotely anywhere within the continental U.S.
- Supportive and collaborative work environment
- Chance to make a positive impact on healthcare data management

What to Expect (Job Responsibilities):
- Maintain accurate provider demographics, networks, and related data with high accuracy and productivity
- Provide updates and information regarding changes in system support files to relevant personnel
- Assist in educating providers and staff on demographic and network data requirements
- Identify and resolve managed care issues related to claims and contract interpretation
- Assist internal departments with provider and member appeals related to network arrangements

What is Required (Qualifications):
- Minimum of one year of provider network planning and/or process management or operations experience
- Strong knowledge of Excel and ability to analyze statistical data
- Understanding of managed care reimbursement strategies for healthcare providers
- Excellent communication skills, both verbal and written
- Knowledge of business or healthcare gained through provider relations or healthcare provider file maintenance experience

How to Stand Out (Preferred Qualifications):
- Bachelor’s degree in business, healthcare administration, or a related field
- One year of experience in medical claims auditing or provider data demographic processing
- Understanding of medical terminology and knowledge of CPT-4 and ICD-9 coding

#Healthcare #RemoteWork #DataManagement #CareerOpportunity #ProviderRelations

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