EPITEC · 18 hours ago
Provider Data Maintenance Specialist
Chicago, IL
Contract
Hybrid
Entry Level
$21/hr - $21/hr
1+ years expEPITEC is seeking a Provider Data Maintenance Specialist to manage provider information for claims processing and directory purposes. The role involves analyzing requests, maintaining provider data, supporting project implementations, and improving processes within the network contracting and credentialing framework.
Information TechnologyStaffing Agency
Hiring Manager
Gabrielle Lee
Responsibilities
Analyze, research, and apply business rules to complete requests received from providers regarding adds/deletes/changes to their information used for claims processing, membership assignment, and directory purposes
Contract, credential and maintain Facility / Professional provider data to support marketing and network contracting across all lines of business
Support the implementation of special projects, assisting with tracking of various phases of a project and managing workflow
Assist management in familiarizing and training team members with the various business rules in network contracting and credentialing across all lines of business
Identify gaps in processes and suggest process improvement strategies
Qualification
Required
HS Diploma/GED plus 1 year of experience with Provider Network contracting and credentialing systems OR 5 years of experience in the Health Care industry
Written and verbal communication skills including interpersonal skills
Skills to develop training materials and act as an advisor to staff
Experience and proficiency in Microsoft Office software products including analytical tools
Experience developing reports
Preferred
Bachelor's degree
Subject Matter Expert for the Professional Provider Credentialing Process
2 years of experience with current government sponsored health insurance networks
Knowledge of health care delivery systems, claim costing analytics, and provider network adequacy analytics
Company
EPITEC
Epitec is a premier technology services and professional staffing company.
1001-5000 employees
H1B Sponsorship
EPITEC has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (189)
2024 (148)
2023 (154)
2022 (266)
2021 (203)
2020 (172)
Funding
Current Stage
Late StageLeadership Team
Mark Ruma
Chief Operating Officer (COO)
Company data provided by crunchbase