Provider Maintenance Associate

Adventist HealthRoseville, CA
11d

About The Position

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Provides ongoing system provider maintenance, research and support according to defined plans and documentation. Assists with maintaining the data integrity of the health plan system(s) as it relates to provider records. Works on routine assignments within defined parameters, established guidelines and precedents.

Requirements

  • High School Education/GED or equivalent

Nice To Haves

  • Associate’s/Technical Degree or equivalent combination of education/related experience

Responsibilities

  • Assists with ensuring that provider records are accurately created and maintained and that updates are completed within designated timeframes.
  • Assists the supervisor in ensuring that provider directories and regulatory requirements are accurate.
  • Requests for new or updates to provider records and ensures accuracy in loading documents or claims.
  • Identifies Tax ID Numbers (TIN) owners, payment addresses, network affiliations, etc.
  • Is responsible for maintaining Adventist Health Medical Staff database.
  • Receives, researches, and answers questions from staff members regarding provider updates and quality issues.
  • Performs other job-related duties as assigned.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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