Provider Data & Credentialing Specialist

Thomas-Jefferson-University-; Philadelphia (Philadelphia County); On-site; USD 45,000 - 65,000; Full time

Job summary

Thomas Jefferson University is seeking a detail-oriented professional to maintain the provider demographic data within the Jefferson Health network. Under supervision, you will update provider records, assign fee schedules, and ensure pricing/contract information is accurate for participating and non-participating providers.

You will process credentialing and related service forms, run production reports, and support data quality initiatives.

Qualifications

• High school diploma or GED required; health insurance knowledge preferred.
• Strong relational database experience and ability to work independently or in a team.
• Proficient in Microsoft Outlook; working knowledge of Excel or Access and MS Word.

Responsibilities

• Enter demographic data of new providers into the provider network database and assign fee schedules and related pricing/contract information.
• Make changes to demographic and pricing/contract data for existing providers.
• Retrieve and validate updates based on production reports for all providers in the network database.

Skills

Relational database experience

Microsoft Outlook

Microsoft Excel

Microsoft Access

Team player

Education

High School Diploma/GED

Tools

Credentialing system

Provider network database

Job description

Thomas Jefferson University is seeking a detail-oriented professional to maintain the provider demographic data within the Jefferson Health network. Under supervision, you will update provider records, assign fee schedules, and ensure pricing/contract information is accurate for participating and non-participating providers.

You will process credentialing and related service forms, run production reports, and support data quality initiatives.