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Healthcare Provider Enrollment Specialist

2 months ago


Canton, Massachusetts, United States Point32Health Full time
About the Role

At Point32Health, we are seeking a skilled Healthcare Provider Enrollment Specialist to join our team. As a key member of our organization, you will play a critical role in ensuring the accuracy and integrity of our provider data systems.

Key Responsibilities
  • Assess and validate contract and supporting documents for provider data entry.
  • Collect and enter accurate provider information into our complex data systems, including demographic information, provider payment details, and IPA affiliations.
  • Maintain various reporting tools and quality metrics for tracking provider information changes.
  • Communicate and confirm provider information changes to internal departments and providers.
  • Resolve conflicts and issues related to provider status and data integrity.
Requirements
  • Bachelor's degree in a healthcare-related field or equivalent experience.
  • 1-2 years of experience in healthcare, with a focus on database management and data analysis.
  • Strong written and verbal communication skills, with the ability to work collaboratively with internal teams and external providers.
  • Ability to maintain confidentiality and handle sensitive information with discretion.
About Point32Health

Point32Health is a leading health and wellbeing organization, dedicated to delivering personalized healthcare experiences to our communities. We are committed to creating healthier communities and improving the health and wellbeing of our members.