TriWest Healthcare Alliance · 1 day ago
Provider Data Specialist
United States
Full-time
Remote
Entry Level
$39K/yr - $42K/yr
1+ years expTriWest Healthcare Alliance is dedicated to connecting America’s heroes to health care in the community. The Provider Data Specialist role involves maintaining accurate provider data across databases, ensuring compliance with provider contracts, and communicating effectively with clients to resolve data issues.
Health Care
No H1B
Security Clearance RequiredU.S. Citizen Only
Responsibilities
Process provider data inventory within expected timeline while meeting accuracy and production targets
Identify, research, and analyze issues received to determine appropriate handling. Resolve provider data correction requests in a specified time frame. Manage daily follow up of Provider data correction requests and resolve all issues to ensure databases are current and accurate
Maintain and process reimbursement terms to ensure correct claims payment and downstream processing
Review Provider contract language and identify when the contract is out of compliance. Process Provider contracts, run reports and respond to inquiries regarding contract compliance issues; image and index contracts and return images to network subcontractors. Conduct quality assurance activities to ensure image quality and completion of image activities
Support requests for assistance and research issues using various resources including online searches and phone calls
Communicate clearly through both written and verbal forms of communication and follow up with various parties to ensure tasks are completed within the allotted timeline or issues are escalated appropriately
Coordinate with internal departments for provider database related issues
Perform all other related duties as assigned by supervisor
Regular and reliable attendance is required
Qualification
Required
High School Diploma or GED
U.S. Citizenship
Must be able to receive a favorable Interim and adjudicated final Department of Defense (DOD) background investigation
One year experience in a customer service role or administrative support work requiring data entry work
Proficiency in using Microsoft Office products and the Internet
Preferred
2 years of data entry experience
Healthcare industry experience, including knowledge of health services
Benefits
Medical, Dental and Vision Coverage
Paid time off
401(k) Retirement Savings Plan (with matching)
Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
Tuition reimbursement
Paid volunteer time
Company
TriWest Healthcare Alliance
TriWest Healthcare Alliance - Serving Those Who Serve. At TriWest, we honor the sacrifice and service of our nations military families by
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2025-01-30Debt Financing
Leadership Team
Mark E. Babbitt
Senior Advisor to President & CEO
Joseph Oddo
Vice President and Chief Information Officer
Recent News
EIN Presswire
2025-07-22
Behavioral Health Business
2025-04-05
Morningstar, Inc.
2024-12-25
Company data provided by crunchbase