Provider Configuration Specialist I - starting 10/17/22

    • Job Tracking ID: 830366
    • Job Location: Remote, USA
    • Job Level: Entry Level (less than 2 years)
    • Level of Education: High School/GED
    • Job Type: Full-Time/Regular
    • Date Updated: September 19, 2022
    • Years of Experience: Less Than 1 Year
    • Starting Date: ASAP
    • Salary Type:: Hourly
    • Rate:: 10.18
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Job Description:

10.18-11.00 DOE 


Job Purpose

The Provider Configurations Specialist creates and maintains our internal provider database using the provider information billed through our claims adjudication system. By verifying the provider licensing, TAX ID, and address information to ensure the information we have on file is accurate and matches the IRS and licensing requirements for accurate claims processing and payment distributions. This is a data entry position with production-based performance requirements.


Key Functions

  • Add/update providers to claims administration system based on various types of approved documentation.
  • Add network contracts and provider types to drive claims benefit and pricing application when required for claims processing
  • Responsible for daily claims and correspondence as assigned.
  • Responsible for verifying accuracy of provider addresses and specialty information in the provider file.
  • Works efficiently, perform multi-tasking, prioritize tasks, and meet tight deadlines.
  • Performs other duties as assigned to ensure individual and group goals are achieved with accuracy, customer service, and timely.




Experience and Skills:




Minimum Qualifications & Education

  • High school degree, or equivalent.


Preferred Qualifications

  • Knowledge of Microsoft Office.