Specialist, Provider Network Administration - Remote

Experteer Overview In this role you will support provider network administration by ensuring accurate and timely maintenance of provider information across claims and provider databases. You will work with cross-functional teams to uphold data quality and align with provider contracts and system requirements. You’ll investigate data discrepancies, support network projects, and help optimize provider demographics and fee schedules. This is an opportunity to impact data integrity and operational efficiency in a healthcare environment. Compensation / Benefits * Receive and update provider-related information in health system databases * Review and analyze data to ensure completeness and accuracy * Maintain provider demographic data with affiliation and fee schedule attachments * Enter information accurately into health plan systems * Audit provider records for quality and financial accuracy; provide feedback * Assist in resolving configuration issues with relevant teams * Support provider network administration projects Tasks * At least 3 years of healthcare experience (claims, provider services, provider network operations, or related) * Claims processing experience (coordination of benefits, subrogation, eligibility) * Attention to detail and accurate data entry/review * Data entry/processing skills * Customer service skills * Effective verbal and written communication * Proficiency with Microsoft Office and applicable software programs Key requirements * competitive benefits and compensation package

and network administration projects Tasks * At least 3 years of healthcare experience (claims, provider services, provider network operations, or related) * Claims processing experience (coordination of benefits, subrogation, eligibility) * Attention to detail and accurate data entry/review * Data entry/processing skills * Customer service skills * Effective verbal and written communication * Proficiency with Microsoft Office and applicable software programs Key requirements * competitive benefits and compensation package