Remote-Ready Provider Data Integrity Specialist

PacificSource; Springfield (OR); On-site; USD 36,000 - 57,000; Full time

Benefits offered by this job

Flexible telecommute policy

Medical insurance

Vision insurance

Dental insurance

401(k) plan

Paid time off

Holidays

Life insurance

Flexible spending account

Tuition reimbursement

Job summary

PacificSource is seeking a Provider Network Maintenance Associate to ensure accurate provider data, compliance with regulations, and timely reimbursements. You will work with Provider Relations, Credentialing, and Contracting teams to manage provider records and directories.

Required 2+ years in an office setting, strong data entry skills, and familiarity with healthcare terminology; high school diploma required, degree preferred. Flexible telecommute policy and competitive benefits offered.

Qualifications

• Minimum 2 years of office experience required; healthcare data background preferred.
• Strong data entry accuracy and attention to detail.
• Ability to learn new systems, databases, and applications with minimal supervision.

Responsibilities

• Enter and update provider demographic, credentialing, and contract data in PacificSource systems.
• Process provider additions, terminations, and changes to maintain data integrity and accurate payments.
• Regularly audit provider data for accuracy and regulatory compliance.
• Assist in managing provider directories to ensure current information.
• Verify licensure, Medicare, and Medicaid eligibility using approved tools.
• Support monitoring of provider records for policy and contracting compliance.
• Collaborate with Provider Relations, Credentialing, Contracting, and other teams to resolve data issues.
• Communicate with providers to obtain missing documents and clarify discrepancies.
• Contribute to process improvements in data entry and maintenance.

Skills

Data entry

Communication

Computer skills

10-key

Medical terminology

CPT/ICD-10 knowledge

Education

High School Diploma or equivalent

Associate's or Bachelor's degree preferred

Job description

PacificSource is seeking a Provider Network Maintenance Associate to ensure accurate provider data, compliance with regulations, and timely reimbursements. You will work with Provider Relations, Credentialing, and Contracting teams to manage provider records and directories.

Required 2+ years in an office setting, strong data entry skills, and familiarity with healthcare terminology; high school diploma required, degree preferred. Flexible telecommute policy and competitive benefits offered.