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Provider Network Administration Specialist
Provider Network Administration SpecialistVirtualVocations • Elizabeth, New Jersey, United States
Provider Network Administration Specialist

Provider Network Administration Specialist

VirtualVocations • Elizabeth, New Jersey, United States
4 days ago
Job type
  • Full-time
Job description

A company is looking for a Senior Specialist, Provider Network Administration.

Key Responsibilities

Validate and maintain provider information in enrollment and provider databases

Collaborate with IT and business teams to improve workflows and project delivery

Generate and prepare provider-related reports to support network management operations

Required Qualifications

Bachelor's Degree or equivalent combination of education and experience

3-5 years of managed care experience, with 2+ years in Provider Claims or Network Administration

3+ years' experience with Medical Terminology, CPT, ICD-9 codes

Intermediate skill level in Access and Excel

Experience in User Acceptance Testing (UAT) is required

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Administration Specialist • Elizabeth, New Jersey, United States