Position Details
About this role
This role supports provider network administration by validating provider information, processing claims, and ensuring data accuracy within healthcare systems.
Key Responsibilities
- Validate provider data
- Process claims
- Maintain provider databases
- Ensure data accuracy
- Assist in claims resolution
Technical Overview
The technical scope includes claims processing systems, provider databases, and healthcare coding standards such as CPT and ICD. The role requires attention to detail and knowledge of healthcare billing processes.
Ideal Candidate
The ideal candidate is an entry-level healthcare claims specialist with at least 3 years of experience in claims processing, provider data management, and medical coding (CPT, ICD-9, ICD-10). They are detail-oriented, efficient, and possess strong communication skills.
Must-Have Skills
Nice-to-Have Skills
Tools & Platforms
Required Skills
Hard Skills
Soft Skills
Certifications
Preferred
Industry & Role
Keywords for Your Resume
Deal Breakers
Lack of claims processing experience, No knowledge of medical coding (CPT, ICD-10), Inability to handle provider data, Poor attention to detail
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