Job Description
The organization is a national administrator in managed vision care, serving millions of members across the United States. It focuses on facilitating eye health and vision services through a large network of ophthalmology and optometric practitioners. The organization manages extensive provider networks to support vision care delivery and claims processing.
About the Opportunity
The Provider Data Specialist role is responsible for maintaining accurate provider data across multiple databases to ensure proper claims processing, utilization management, and provider directory accuracy. This position plays a critical role in managing provider and payee information, supporting network integrity, and facilitating communication between providers and internal teams.
Responsibilities
- Manage creation, updates, and terminations of provider, office, and payee data in provider databases
- Perform audits and maintain data accuracy using external...