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Network Data Spec I

Network Data Spec I

CompanyElevance Health
LocationTampa, FL, USA, Wallingford, CT, USA, Hanover, MD, USA, Latham, NY, USA, Portland, ME, USA, Atlanta, GA, USA
Salary$18.7 – $28.06
TypeFull-Time
Degrees
Experience LevelEntry Level/New Grad, Junior

Requirements

  • Requires a H.S. diploma or equivalent; basic PC office software; or any combination of education and experience, which would provide an equivalent background.

Responsibilities

  • Responsible for accurate and timely maintenance of provider information on claims and provider databases.
  • Assists in synchronization of data among multiple claims systems and application of business rules as they apply to each database.
  • Validates the data to be housed on provider databases and ensuring adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.

Preferred Qualifications

  • 1-3 years experience in claims processing, provider, or credentialing strongly preferred.