Job Description

This position is 100% remote for candidates living in the following states: AL, DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NV, NH, ND, OH, OK, PA, SC, SD, TN, TX, UT, WA, WV, WI, WY Sentara Healthcare offers employees comprehensive health care and retirement benefits designed with you and your family\'s well-being in mind. Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met. For applicants within Washington State, the following hiring range will be applied: $47,028.08 to $64,896.00 annually.

The primary role of the Provider Data Enrollment Specialist I is to ensure the data integrity of provider records entered and maintained in the credentialing and/or payment systems. This position may be responsible for all aspects of ensuring accurate and timely processing of provider setup to initiate credentialing, provider record updates and edits, processing provider terminations, and researching and resolving provider setup issues in the applicable systems. This data maintenance will support network adequacy and growth, regulatory reporting, provider directories, as well as downstream systems and processes. Minimum of 1-year experience in healthcare insurance working with provider, network, or contract data; or a combination of education and experience, which would provide an equivalent background Understanding health claims processing is a plus

• High School Grad or Equivalent

• Microsoft Access
• Microsoft Word
• Microsoft PowerPoint
• Microsoft Excel