Provider Engagement Specialist

Job Summary

A company is looking for a Provider Engagement Network Specialist to manage provider setup and data integrity in the provider information system.

Key Responsibilities

• Ensure accurate provider setup for state reporting, claims payment, and directories
• Research and resolve provider-related data issues and inaccuracies
• Facilitate provider education and training sessions

Required Qualifications

• Associate's degree preferred
• Experience in claims processing, billing, and/or coding
• Three years of experience in a managed care environment or healthcare organization
• Knowledge of healthcare, managed care, Medicare, or Medicaid