• Provider Data Specialist

    TEKsystems (Glen Allen, VA)


    Description:

    The Provider Data Specialist is responsible for maintaining the accuracy of data in our national provider database (NDB). This database contains provider demographic information that drives the National PPO lookup and plays a crucial role in the bill review process.

     

    Fully remote position after 2-week onsite training period. Must be commutable to Glen Allen, VA

    ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

    + Provider Requests – Responsible for researching credentialing, NPI, specialty, licenses and certifications required prior to adding providers and contracts, as requested through the Provider Request Manager housed within MedCheck (provider add and network review requests). It is essential that the Provider Requests be processed within 24 hours for live bills.

    + Responsible for notifying PPO staff via email when items need to be escalated due to being beyond the limitations of the Provider Data Specialists knowledge, skills, ability or authority.

    + Responsible for adding and terminating providers to the PPO within 5 days of receiving via SharePoint and/or group mailbox

    + Responsible for updating and maintaining PPO Roster, performing all necessary changes within 30 days of receiving via SharePoint.

    + •Responsible for updating Provider Portal within 30 days of receipt via the Provider Request manager housed within MedCheck.

    + Correct historical errors, or errors made in day-to-day NPDB, in manual reports as requested by manager.

    + Ensure data integrity by merging or removing duplicate records created by the PPO loading process.

    + Requires regular and consistent attendance

    + Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (“IIPP”).

    Requirements:

    + Previous experience within provider relations, bill review, claims, workers compensation preferred.

    + Customer service experience working in Mortgage, Banking, Managed Care and Benefit Administration industries are also transferable.

    + Excellent oral and written communication skills

    + Strong customer service skills and experience

    + Strong organizational skills. Excellent interpersonal skills

    + High School Diploma or equivalent required.

    Details:

    + Fully remote after 2-week onsite training period. Equipment is provided

    + Pay: $18 - $20/hr.

    + Pay cycle – weekly | Medical, Dental & Vision benefits offered.

    + Training Schedule: Monday – Friday | 8-hour shift between 8:00am – 5:00pm EST. **Training will be fully onsite for the first 2 weeks. Must be commutable to Glen Allen, VA

    + Full time schedule: Monday – Friday | 7:00am – 330pm or 8:00am – 430pm EST. Flexibility to choose either shift as long as it’s consistent.

    Pay and Benefits

    The pay range for this position is $18.00 - $20.00/hr.

     

    Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

     

    • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

     

    Workplace Type

     

    This is a hybrid position in Glen Allen,VA.

     

    Application Deadline

     

    This position is anticipated to close on May 30, 2025.

    About TEKsystems and TEKsystems Global Services

    We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

     

    The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.