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Associate Provider File Representative

Job in Iowa City, Johnson County, Iowa, 52245, USA
Listing for: Highmark Health
Full Time position
Listed on 2026-02-07
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Compliance
Job Description & How to Apply Below

Overview

Employer Industry: Healthcare Services

Why consider this job opportunity
  • Salary up to $27.42
  • Opportunity for career advancement and growth within the organization
  • Engaging work environment where you can make a difference in provider data management
  • Supportive team atmosphere with regular training and development opportunities
  • Chance to ensure compliance with important healthcare regulations and standards
What to Expect (Job Responsibilities)
  • Maintain accurate data in provider file databases, including managing assignments, updates, and demographic information
  • Apply complex guidelines in reviewing submitted requests to ensure compliance with regulations
  • Conduct data integrity checks by contacting external sources for clarification and document verification
  • Educate providers on obtaining and updating necessary identifiers for compliance
  • Perform additional duties as assigned to support the team and overall operations
What is Required (Qualifications)
  • High School Diploma or GED
  • One year of experience in Provider Data Management, Credentialing, Customer Services, or Claims
  • Proficient in Microsoft Office and possess typing/computer skills
  • Strong problem-solving abilities and effective communication skills
  • Ability to interact positively with both providers and customers
How to Stand Out (Preferred Qualifications)
  • Experience in healthcare compliance and regulatory standards
  • Familiarity with provider enrollment processes and credentialing systems
  • Background in customer service within the healthcare industry
  • Additional certifications related to healthcare administration or data management

#Healthcare Services #Provider Enrollment #Career Opportunity #Competitive Pay #Data Management

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Position Requirements
10+ Years work experience
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