Experienced Provider Data Entry Specialist (Full Remote) – Healthcare Industry Expertise Required

At careerzynith, we're dedicated to delivering exceptional healthcare services to our members, and we're seeking a highly skilled Provider Data Entry Specialist to join our team. As a key member of our team, you'll play a vital role in ensuring the accuracy and integrity of provider demographic and contract affiliation information within our health plan system. If you're passionate about data entry, healthcare, and delivering exceptional results, we encourage you to apply for this exciting opportunity.

• *About careerzynith**

careerzynith is a leading healthcare organization committed to providing innovative solutions to improve the lives of our members. With a strong focus on quality, integrity, and customer satisfaction, we're dedicated to building a team of talented professionals who share our vision. As a remote employee, you'll have the flexibility to work from the comfort of your own home while being part of a dynamic and supportive team.

• *Job Summary**

The Provider Data Entry Specialist plays a crucial role in ensuring the accuracy and integrity of provider demographic and contract affiliation information within our health plan system. This role demands meticulous attention to detail and efficiency in processing incoming requests to optimize claims adjudication. As a key member of our team, you'll be responsible for:

• Receiving provider information from external sources for system updates and applying your knowledge and experience to validate the provided information
• Accurately entering and maintaining provider records in our computer system, emphasizing precision and timeliness
• Conducting regular audits of loaded provider records to ensure both quality and financial accuracy, with documented feedback provided when necessary
• Supporting system/health plan integration efforts and training existing staff and new hires
• Assisting in system-related testing activities
• *Essential Functions**

• Accurate data entry and maintenance of provider records in our computer system

• Regular audits of loaded provider records to ensure both quality and financial accuracy
• Training existing staff and new hires on system/health plan integration efforts
• Assisting in system-related testing activities
• Supporting system/health plan integration efforts
• Maintaining reliable attendance based on the agreed-upon schedule
• Understanding and compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations
• Establishing and maintaining positive and effective work relationships with coworkers, clients, members, providers, and customers
• *Knowledge/Skills/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
• Maintaining 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
• *Required Education and Experience**

• High School Diploma or equivalent GED

• 1+ years of managed care experience and/or medical office experience with coding or credentialing experience
• At least one year of medical office experience for this role
• *Why Join careerzynith?**

• Competitive hourly rate of $22.00 per hour

• Comprehensive benefits package, including medical, dental, vision, PTO - 15 days, and 401(k) with match
• Opportunity to work in a dynamic and supportive team environment
• Flexible remote work arrangement
• Professional development and growth opportunities
• Recognition and rewards for outstanding performance
• *How to Apply**

If you're a motivated and detail-oriented individual with a passion for healthcare and data entry, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you!

• *Equal Employment Opportunity**

careerzynith is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive and respectful work environment that values diversity, equity, and inclusion.

• *Contact Information**

If you have any questions or would like to learn more about this opportunity, please don't hesitate to contact us at [insert contact information]. We look forward to hearing from you! Apply for this job