At careerzynith, we are committed to delivering exceptional healthcare services to our members, and we are seeking a highly skilled and detail-oriented Provider Data Entry Specialist to join our team. As a key member of our team, you will play a crucial role in ensuring the accuracy and integrity of provider demographic and contract affiliation information within our health plan system. If you have a passion for healthcare and a keen eye for detail, we encourage you to apply for this exciting opportunity.

About careerzynith

careerzynith is a leading healthcare organization dedicated to providing innovative and patient-centered solutions to our members. With a strong commitment to quality and excellence, we strive to create a positive and supportive work environment that fosters growth and development. Our team is passionate about making a difference in the lives of our members, and we are seeking like-minded individuals to join our mission.

Job Summary

The Provider Data Entry Specialist will be responsible for receiving and processing provider information from external sources, ensuring accurate and timely updates to our health plan system. This role demands meticulous attention to detail, strong communication skills, and the ability to work efficiently in a fast-paced environment. As a key member of our team, you will be responsible for:

• Receiving and processing provider information from external sources, including demographic and contract affiliation data
• Validating provided information to ensure accuracy and integrity
• Maintaining accurate and up-to-date provider records in our computer system
• Conducting regular audits of loaded provider records to ensure quality and financial accuracy
• Providing documented feedback to external sources as necessary
• Supporting system/health plan integration efforts and training existing staff and new hires
• Assisting in system-related testing activities

Essential Functions

* Accurate and timely data entry and maintenance of provider records

• Regular audits of loaded provider records to ensure quality and financial accuracy
• Documented feedback provided to external sources as necessary
• Support for system/health plan integration efforts and training of existing staff and new hires
• Assistance in system-related testing activities
• Strong verbal and written communication skills
• Adherence to Managed Care Organization's policies and confidentiality requirements
• Reliable attendance based on the agreed-upon schedule
• Understanding and compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations
• Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers, and customers

Knowledge, Skills, and Abilities

* Previous experience in a medical office setting working in provider credentialing or related position

• Strong verbal and written communication skills
• Adherence to Managed Care Organization's policies and confidentiality requirements
• Reliable attendance based on the agreed-upon schedule
• Understanding and compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations
• Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers, and customers
• Strong analytical and problem-solving skills
• Ability to work efficiently in a fast-paced environment
• Proficiency in computer software applications, including Microsoft Office and Google Suite

Required Education and Experience

* High School Diploma or equivalent GED

• 1 year of managed care experience and/or medical office experience with coding or credentialing experience
• At least 1 year of medical office experience for this role

What We Offer

* Competitive salary

• Comprehensive benefits package, including medical, dental, vision, and 401(k) with match
• 15 days of paid time off (PTO)
• Opportunities for career growth and professional development
• Collaborative and supportive work environment
• Recognition and rewards for outstanding performance

How to Apply

If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity. Please submit your application today, and join our team at careerzynith. Apply To This Job

Join Our Team!

At careerzynith, we are committed to creating a positive and supportive work environment that fosters growth and development. Our team is passionate about making a difference in the lives of our members, and we are seeking like-minded individuals to join our mission. If you have the skills and passion we're looking for, please submit your application today. Apply for this job