Provider Data Management Specialist- Enrollment
Core
Enter, update, and maintain provider information and credentialing data in health plan systems to ensure compliance with CMS, HIPAA, and state/federal regulations.
Role type
Provider Data Management Specialist
Builds
Accurate provider records and demographic data within health plan systems
Domain
Healthcare / Health Insurance
Required skills
Data entry, data validation, regulatory compliance (CMS/HIPAA), data auditing, data reconciliation, system data loading, task prioritization, attention to detail, multitasking, Microsoft Office Suite proficiency, web-based application navigation, fast typing (40+ wpm)
Preferred skills
Analytical abilities, logical reasoning, organizational skills, strong English reading/listening comprehension, customer service focus
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