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Provider Data Remote Jobs in New York (NOW HIRING)

StationMD

Payer Enrollment Specialist

Maplewood, NJ · Remote

$20 - $25/hr

Maplewood, NJ; Remote Position Company Summary: StationMD is a telehealth company dedicated to ... Data Management: Maintain accurate provider data within internal and external portals and ...

Mondo

Data Engineer II

Manhattan, NY · Remote

$117K - $140K/yr

Data Engineer II Location-Type: Remote (EST hours preferred) Start Date Is: ASAP Duration ... Provide next level support when data issues are discovered and communicated by the data analysts

ays s.r.o.

Data Analyst

New York, NY · On-site +1

Position: Data Analyst [Remote] Job Overview: We are seeking a talented and experienced Data ... You will work closely with our clients to understand their data needs and provide actionable ...

Impiricus

Data Analyst

New York, NY · On-site +1

$85K - $95K/yr

Atlanta, GA | NYC, NY | Remote, USA Employment Type: Full-time, Salaried Who We Are Impiricus is ... Partner with Client Services and Sales to provide analytical support for client conversations ...

TSMG

AI/ML Data Contributor

New York, NY · Remote

Participate in remote assignments or attend on-site sessions when required * Follow project ... Provide feedback and input during testing activities * Complete tasks within given timelines ...

City of New York

Senior Data Architect

Manhattan, NY · On-site +1

$73.75 - $98.50/hr

... provide operational, analytical, and managerial support functions, as well as IT resource ... REMOTE WORK: This position may be eligible for remote work up to 2 days per week, pursuant to the ...

City of New York

Senior Data Architect

Manhattan, NY · On-site +1

$73.75 - $98.50/hr

... provide operational, analytical, and managerial support functions, as well as IT resource ... REMOTE WORK: This position may be eligible for remote work up to 2 days per week, pursuant to the ...

TSMG

AI/ML Data Contributor

New York, NY · Remote

Participate in remote assignments or attend on-site sessions when required * Follow project ... Provide feedback and input during testing activities * Complete tasks within given timelines ...

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Provider Data Remote information

What does a Provider Data Remote do?

A Provider Data Remote is responsible for managing and maintaining healthcare provider information, such as credentials, contact details, and contract status, within a healthcare organization's database. This role is typically performed remotely and involves verifying data accuracy, updating records, and ensuring compliance with regulatory requirements. Provider Data Remotes collaborate with providers, insurance companies, and internal teams to resolve discrepancies and support network operations. Strong attention to detail, data management skills, and familiarity with healthcare terminology are essential for success in this position.

What are the key skills and qualifications needed to thrive as a Provider Data Remote?

To thrive as a Provider Data Remote specialist, you need strong attention to detail, data entry proficiency, knowledge of healthcare terminology, and typically an associate's or bachelor's degree in a related field. Familiarity with provider data management systems, Microsoft Excel, and claims processing software is commonly required, along with experience using databases like Facets or CAQH. Excellent organizational skills, problem-solving abilities, and clear communication help you stand out in this role. These skills ensure the accuracy and integrity of provider data, supporting efficient healthcare operations and compliance.

What are some common challenges faced by Provider Data Remote, and how can they be managed?

Provider Data Remote professionals often encounter challenges such as managing large volumes of complex provider information, ensuring data accuracy, and keeping up with frequent updates from multiple sources. Working remotely can also mean collaborating with cross-functional teams in different locations, which requires strong communication and organizational skills. To manage these challenges, it's helpful to use standardized data management tools, establish clear communication protocols with team members, and stay updated on industry regulations related to provider data.

What is the difference between Provider Data Remote vs Provider Data Specialist?

AspectProvider Data RemoteProvider Data Specialist
CredentialsTypically requires healthcare data management certifications or relevant experienceOften requires similar certifications, such as medical coding or data management credentials
Work EnvironmentRemote, often independent or team-based in healthcare organizationsPrimarily office or healthcare facility-based, but can include remote options
Industry UsageCommonly used in healthcare, insurance, and medical data management

Provider Data Remote and Provider Data Specialist roles share similar credentials and industry usage, focusing on healthcare data management. The main difference lies in the work setting, with Provider Data Remote working primarily remotely, offering flexibility, while Provider Data Specialist roles may be more office-based. Both roles are essential for maintaining accurate provider information in healthcare systems.

What are the most commonly searched types of Provider Data jobs in New York?

The most popular types of Provider Data jobs in New York are:

What are popular job titles related to Provider Data Remote jobs in New York?

For Provider Data Remote jobs in New York, the most frequently searched job titles are:

What job categories do people searching Provider Data Remote jobs in New York look for?

The top searched job categories for Provider Data Remote jobs in New York are:

What cities in New York are hiring for Provider Data Remote jobs?

Cities in New York with the most Provider Data Remote job openings:

Provider Data Remote jobs near you

Payer Enrollment Specialist

StationMD

Maplewood, NJ • Remote

$20 - $25/hr

Full-time

Re-posted 4 days ago

Job description

Job Title: Payer Relations Specialist

Reports to: Payer Relations Manager

Employment: Full-Time, Hourly

Location: Maplewood, NJ; Remote Position

Company Summary:

StationMD is a telehealth company dedicated to serving individuals with intellectual and/or developmental disabilities (I/DD). All StationMD clinicians are board-certified and specially trained to treat individuals with I/DD. Clinicians are available 24/7 via telemedicine for urgent and non-urgent medical matters. StationMD also offers scheduled psychiatry visits via telemedicine to individuals with I/DD. In providing this suite of services, StationMD enables individuals with I/DD faster access to high-quality care and substantially reduces unnecessary medical costs.

Position Summary:

We are seeking a Payer Enrollment Specialist to assist with the process of enrolling healthcare providers with insurance companies, re-credentialing, updating databases, and problem-solving enrollment issues to ensure timely and accurate network participation. 

Responsibilities:

  • Application Management: Prepare and submit initial and renewal credentialing/enrollment applications for providers (physicians, facilities, etc.) with commercial and government payers
  • Follow-Up: Proactively track and follow up on application statuses, ensuring timely processing and resolving delays
  • Data Management: Maintain accurate provider data within internal and external portals and databases for contracted and non-contracted payers
  • Liaison: Serve as a contact for providers, internal teams, and insurance companies regarding credentialing and enrollment
  • Compliance: Ensure adherence to payer requirements, policies, and regulatory standards
  • Issue Resolution: Troubleshoot contracting processing issues by collaborating cross functionally to develop solutions
  • Monitoring: Track provider licenses, certifications, and insurance expirations

Qualifications:

  • Associate’s degree or equivalent experience in healthcare or business administration
  • Minimum of 4 years of credentialing and payer enrollment experience
  • Strong understanding of health insurance payors and reimbursement processes
  • Experience with credentialing/payor enrollment tracking software (Medallion or similar system)
  • Excellent written and verbal communication skills
  • Strong organizational and follow-up skills
  • Ability to analyze data and identify trends
  • Excellent attention to detail and accuracy
  • Energy and passion for increasing access to quality healthcare and improving the quality of life for individuals with Intellectual and Developmental Disabilities

StationMD is an equal opportunity employer.