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Job description
Job TitleProvides support for provider network administration activities. Responsible for accurate and timely validation and maintenance of critical provider information on all claims and provider databases, and ensures adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.Job Description• Receives information from outside parties for update of provider-related information in applicable computer system(s). • Reviews/analyzes data by applying job knowledge to ensure appropriate information has been provided. • Maintains department quality standards for provider demographic data with affiliation and fee schedule attachment. • Ensures accurate entries of information into health plan systems. • Audits loaded provider records for quality and financial accuracy, and provides documented feedback. • Assists in resolution of configuration issues with applicable teams. • Provides support for provider network administration projects.Required Qualifications• At least 3 years of health care experience, to include experience in claims, provider services, provider network operations, and/or hospital/physician billing, or equivalent combination of relevant education and experience. • Claims processing experience, including coordination of benefits, subrogation, and/or eligibility criteria. • Attention to detail, and ability to facilitate accurate data entry/review. • Data entry/processing skills. • Customer service skills. • Ability to manage multiple priorities and meet deadlines. • Effective verbal and written communication skills. • Microsoft Office suite and applicable software programs proficiency.Preferred Qualifications• Intermediate Microsoft Excel skills.Job InfoJob Identification Job Category OperationsJob Schedule Full timeLocations Salt Lake City, UT, United States United StatesSalary Range $18.04 - $35.17 Hourly *Actual compensation may vary based on geographic location, work experience, education and/or skill level
Worksite address
salt lake city, UT, 84101, US
Who can apply
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