Provider Data & Credentialing Specialist

CareAllies Inc.; United States; À distance; USD 26 000 - 47 000; Plein temps

Avantages offerts par ce poste

Health and wellness benefits

401(k) savings plan

Pension plan

Paid time off

Paid parental leave

Disability insurance

Life insurance

Employee assistance program

Paid holidays

Tuition reimbursement

Résumé du poste

CareAllies Inc. is seeking a detail-oriented professional to analyze and apply business rules for provider data changes impacting claims, enrollment, and directory services.

You will review contracting and credentialing while maintaining provider data to support networks across lines of business. Role requires collaboration with internal teams and external partners, including coordinating with various departments on network activities.

Qualifications

• 2 years of college and/or 2 years of relevant experience.
• Written and verbal communication skills to interact with internal and external customers.
• Analytical and quantitative skills.
• Ability to take initiative and work independently.

Responsabilités

• Analyze and apply business rules for provider data changes affecting claims processing, enrollment, and directory services.
• Review contracting, credentialing, and maintenance of provider data to support multiple departments.
• Coordinate with internal teams and external partners as liaison for network activities.

Connaissances

Analytical skills

Communication skills

Independent work

Spanish preferred

Formation

2-year college or equivalent

Outils

Salesforce

Excel

Access

PowerPoint

Description du poste

CareAllies Inc. is seeking a detail-oriented professional to analyze and apply business rules for provider data changes impacting claims, enrollment, and directory services.

You will review contracting and credentialing while maintaining provider data to support networks across lines of business. Role requires collaboration with internal teams and external partners, including coordinating with various departments on network activities.