PacificSource
Provider Network Data Maintenance Associate
Springfield, OR
Sponsorship not specified$36k-$57kDetected 2 days ago
ComplianceHIPAAICD-10ResearchCommunicationCollaborationProblem SolvingAdaptabilityOrganizational Skills
About the role
- Looking for a way to make an impact and help people?
- Join PacificSource and help our members access quality, affordable care!
- PacificSource is an equal opportunity employer.
Responsibilities
- Process provider additions, terminations, and changes in a timely manner to maintain data integrity and ensure accurate contract rows are added for correct claims payments.
- Support the monitoring and maintenance of provider records for compliance with organizational policies, procedures, and contracting regulations.
- Collaborate with Provider Relations, Credentialing, Contracting, and other internal teams to resolve provider data issues, and research and respond to detailed provider inquiry issues routed from customer/provider service departments.
- Provide support and assistance to other team members as needed to ensure the overall effectiveness of the provider network operations.
- Maintain positive and effective working relationships with team members and other departments.
- Perform other duties as assigned, contributing to the overall success of the Provider Network Department.
- Perform regular audits of provider data to ensure accuracy, compliance with internal standards, regulatory requirements, and support ongoing maintenance and data integrity of provider information.
- Building Customer Loyalty
- Building Strategic Work Relationships
Requirements
- Ability to read and comprehend both written and spoken English.
- It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position.
- Travel may be required 5% of the time for training and/or external meetings.
Nice to have
- High School Diploma or equivalent required, Associate's or Bachelor's degree preferred.
- Fast and accurate data entry skills.
- Able to learn and be trained on new systems, databases, and applications Effective written and oral communication.
- Proficient computer skills, typing, and 10-key required.
Skills
- Compensation Disclaimer
- Base Range:
- $35,542.81 - $56,868.50
- The wage range provided reflects the full range for this position.
- Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity.
Compensation
- The wage range provided reflects the full range for this position.
- The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage.
- Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity.
- Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range.
Benefits
- Work Experience: A minimum of 2 years of experience in an office environment is required, preferred experience in healthcare data management, network operations or data analysis.
- Preferred familiarity with provider network operations included, but not limited to, provider credentialing, healthcare regulatory requirements, contracting or reimbursement processes.
- Education, Certificates, Licenses: High School Diploma or equivalent required, Associate's or Bachelor's degree preferred.
- Medical terminology, CPT/ICD-10 coding preferred.
Company info
- We are committed to doing the right thing.
- We are one team working toward a common goal.
- We are each responsible for customer service.
Equal opportunity
- We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
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This listing is sourced directly from PacificSource's careers page and normalized into a canonical job model.