Provider Network Data Maintenance Associate

$35.54k - $56.87k

Full-time

PacificSource

Looking for a way to make an impact and help people?
Join PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
The Provider Network Maintenance Associate is responsible for maintaining the accuracy and integrity of provider data within the organization's systems. This role involves updating provider records, ensuring compliance with all regulatory requirements, and supporting Provider Network Operations by managing data related to provider contracts, reimbursements, and credentialing. The Associate will work closely with various teams, including Provider Relations, Provider Reimbursement Analytics, Provider Network Credentialing and Compliance, to ensure that provider information is up-to-date and accurate, which is critical for smooth operations and timely reimbursements.
Essential Responsibilities:
Accurately and promptly enter and update provider demographic, credentialing, and contract information in PacificSource systems for new and re-credentialed network providers, meeting department service level expectations.
Process provider additions, terminations, and changes in a timely manner to maintain data integrity and ensure accurate contract rows are added for correct claims payments.
Perform regular audits of provider data to ensure accuracy, compliance with internal standards, regulatory requirements, and support ongoing maintenance and data integrity of provider information.
Assist in the management of provider directories, ensuring they are current, accurate, and meet the needs of members.
Verify licensure, Medicare, and Medicaid eligibility using compliance-approved tools, ensuring provider data meets all regulatory and accreditation standards, including state and federal requirements.
Support the monitoring and maintenance of provider records for compliance with organizational policies, procedures, and contracting regulations.
Collaborate with Provider Relations, Credentialing, Contracting, and other internal teams to resolve provider data issues, and research and respond to detailed provider inquiry issues routed from customer/provider service departments.
Communicate with providers to obtain necessary documentation or clarify discrepancies in data, ensuring positive and effective working relationships.
Provide support and assistance to other team members as needed to ensure the overall effectiveness of the provider network operations.
Identify opportunities for process improvements related to provider data management, maintenance, and contribute to quality assurance initiatives to continuously improve data accuracy and process efficiency.
Assist in the development and implementation of best practices for provider data entry and maintenance, and participate in projects related to provider network expansion, system upgrades, or regulatory changes.
Maintain positive and effective working relationships with team members and other departments.
Supporting Responsibilities:
Meet department and company performance and attendance expectations, maintaining a high level of data accuracy and productivity.
Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
Perform other duties as assigned, contributing to the overall success of the Provider Network Department.
SUCCESS PROFILE
Work Experience: A minimum of 2 years of experience in an office environment is required, preferred experience in healthcare data management, network operations or data analysis. Preferred familiarity with provider network operations included, but not limited to, provider credentialing, healthcare regulatory requirements, contracting or reimbursement processes.
Education, Certificates, Licenses: High School Diploma or equivalent required, Associate's or Bachelor's degree preferred.
Knowledge: Fast and accurate data entry skills. Self-motivated. Able to learn and be trained on new systems, databases, and applications Effective written and oral communication. Proficient computer skills, typing, and 10-key required. Medical terminology, CPT/ICD-10 coding preferred.
Competencies:
Adaptability
Building Customer Loyalty
Building Strategic Work Relationships
Building Trust
Continuous Improvement
Contributing to Team Success
Planning and Organizing
Work Standards
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel may be required 5% of the time for training and/or external meetings.
Skills:
Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork
Compensation Disclaimer
The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range.
Base Range:
$35,542.81 - $56,868.50
Our Values
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
We are committed to doing the right thing.
We are one team working toward a common goal.
We are each responsible for customer service.
We practice open communication at all levels of the company to foster individual, team and company growth.
We actively participate in efforts to improve our many communities-internally and externally.
We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
We encourage creativity, innovation, and the pursuit of excellence.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

Apply

Vacancy posted 1 day ago

Similar jobs that could be interesting for youBased on the Provider Network Data Maintenance Associate in Springfield, OR vacancy

Remote Telehealth Therapist (1099 Independent Provider - WA)-Rula - Eugene
$80 per hour
...is a comprehensive behavioral health solution that works with a network of licensed clinicians to deliver high-quality care to... ...new client marketing and administrative heavy-lifting, we allow providers at Rula to focus on what they do best; helping clients get better...
Network
Hourly pay
For contractors
Private practice
Work at office
Remote work
Rula
Eugene, OR
10 hours ago
Advanced Practice Provider
$90.58k - $226.09k
...center in Central Oregon - is looking to add an Advanced Practice Provider (APP) to their clinic in Eugene, OR. The APP will support our... .... Equal Opportunity Employer Statement The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will...
Network
Full time
Private practice
US Oncology
Eugene, OR
2 days ago
Janitorial Route Driver
$16 per hour
...may be assigned:Perform all cleaning duties for facilities using provided ServiceMaster products, tools and proceduresCleaning duties... ...access. By joining ServiceMaster, you'll be part of a talented network of employees with a shared vision.Our environment is a diverse...
Network
Work at office
Flexible hours
ServiceMaster
Eugene, OR
4 days ago
Service Technician
$30 - $60 per hour
...Service Technicians. If you're passionate about equipment repair and providing exceptional service to customers working with the latest tools... ...includes eight locations. Eugene is a crucial part of this network, which stretches from California to Minnesota. Are you ready to...
Network
For contractors
Relocation package
RDO Equipment Co.
Eugene, OR
4 days ago
IT Field Technician - On Call - Eugene, OR
$35 per hour
...your proximity and skills. About the Role Geeks On Site provides nationwide computer repair and technology support services for... ...business customers. The primary focus is computer troubleshooting, networking support, printer configuration, and general on site IT service...
Network
Hourly pay
For contractors
Local area
Remote work
Flexible hours
Geeks on Site
Eugene, OR
5 days ago
Store Cashier I
$16.75 - $17.25 per hour
...depending on us daily for fuel, food, truck maintenance and essential services.Driven by a... ...passionate team, TA is focused on growing its network of travel centers, implementing cutting... ...store team primarily responsible for providing excellent customer service to our guests...
Network
Contract work
Local area
Flexible hours
Night shift
TravelCenters of America
Eugene, OR
1 day ago
Commercial Service Technician- Eugene, OR
...ORPilot Company is an industry-leading network of travel centers with more than 30,000... ...employing one of the largest tanker fleets and providing critical services to oil operations in... ...and digital innovation, construction, maintenance, human resources, finance, sales and...
Network
Local area
Work from home
PILOT
Eugene, OR
4 days ago
Licensed Clinical Psychologist (LCP)
$154.94 per hour
...Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at...
Network
Bi-weekly pay
Private practice
Headway
Eugene, OR
12 hours ago
Licensed Mental Health Counselor
$120 per hour
...Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at...
Network
Bi-weekly pay
Private practice
Headway
Eugene, OR
4 hours ago
Diesel Technician / Mechanic - Coburg, OR
...needs since 1986, Gordon Truck Centers, Inc. (GTC) is an expanded network of 19 dealerships doing business as Gordon Truck Centers,... ...GTC General Benefits DescriptionGordon Truck Centers, Inc. (GTC) provides a healthcare plan that covers medical, dental, vision and prescription...
Network
Relocation package
Shift work
Afternoon shift
Freightliner Northwest
Eugene, OR
1 day ago
Facility Maintenance Technician
...Facility Maintenance TechnicianFounded more than 100 years ago and headquartered in Springfield... .... Our portfolio of glulam products provides the construction industry with a wide range... ...solutions through our nationwide network of wholesale distribution partners.Rosboro...
Network
16 hours
Full time
Temporary work
For contractors
Casual work
Work at office
Immediate start
Relocation
Rosboro
Springfield, OR
14 hours ago
Now Hiring IT and Telecom Field Technicians
...experience , and one of the following: A+ Certification Network+ Certification OR 5+ years verifiable field experience in I.... ...knowledge About AMG Tech Support AMG is a trusted provider of I.T. and Telecom solutions to professional offices, medical...
Network
Hourly pay
For contractors
Immediate start
Flexible hours
HARDY INDUSTRIES
Eugene, OR
11 days ago
Supervisor, Mechanical - Prior experience maintaining Locomotives required!
...is over 125 years old. With a network of 100+ individual freight... ...employees across North America, we provide transportation and logistics... ...with FRA standards, oversee maintenance schedules, and troubleshoot... ...:High school diploma or GED; Associate's degree in a related field is...
Network
Hourly pay
Full time
Work at office
Relocation
Relocation package
Night shift
Genesee & Wyoming
Eugene, OR
1 hour ago
Licensed Psychiatrist
...psychiatrists looking to build or grow their private practice. Headway provides the tools, resources, and support to help you navigate... ...competitive rates with top insurance plans through our nationwide network. Predictable bi-weekly payments: Receive reliable payouts...
Network
Bi-weekly pay
For contractors
Private practice
Headway
Eugene, OR
14 hours ago
Licensed Psychiatric Nurse Practitioner (LPNP)
...practitioners looking to start or grow their private practice. Headway provides the tools, resources, and support to help you navigate... ...competitive rates with top insurance plans through our nationwide network. Predictable bi-weekly payments: Receive reliable payouts...
Network
Bi-weekly pay
Full time
For contractors
Private practice
Flexible hours
Headway
Eugene, OR
4 hours ago
Commercial Service Technician- Eugene, OR
...Pilot Company is an industry-leading network of travel centers with more than 30,000... ...employing one of the largest tanker fleets and providing critical services to oil operations in... ...and digital innovation, construction, maintenance, human resources, finance, sales and marketing...
Network
Weekly pay
Local area
Work from home
Pilot Company
Eugene, OR
14 hours ago
Experienced Automotive Technician
...Live technician support hotline for difficult diagnostics Career advancement opportunities within the **AAMCO Transmissions network Employee discounts on parts Clean, safe, and well-equipped shop Friendly team atmosphere Job Requirements Minimum 3+...
Network
Full time
Weekend work
Day shift
AAMCO of Eugene
Eugene, OR
24 days ago
Maintenance Manager
$85k - $100k
...Maintenance Manager Location: Eugene, OR Base Salary: $85,000 - $100,000 Annual Bonus... ...A dedicated Swing Shift Supervisor provides leadership coverage for the second shift... ...advancement throughout our North American network. What You'll Do As the Maintenance...
Network
Temporary work
Flexible hours
Shift work
Night shift
Day shift
Afternoon shift
Waste Connections
Eugene, OR
3 days ago
Splicer II Copper
...professionals build and maintain the vital copper networks that keep our communities connected. In... ...copper cable splicing, upgrades, and maintenance. Testing & Troubleshooting: Test,... ...service drops and cable cuts. Leadership: Provide mentorship and technical guidance to...
Network
Work experience placement
Remote work
North Sky Communications
Eugene, OR
2 days ago
Licensed Clinical Social Worker (LCSW)
$120 per hour
..., Headway supports secure virtual and in-person care for solo providers and group practices with guaranteed bi-weekly payments. Grow your... ...: Access top-tier rates through our nationwide insurance network. All-in-One EHR (Free): Includes scheduling, documentation...
Network
Bi-weekly pay
Hourly pay
Extra income
Full time
Part time
Private practice
Remote work
Flexible hours
Headway
Eugene, OR
4 hours ago
Licensed Clinical Social Worker - Telehealth
$120 per hour
..., Headway supports secure virtual and in-person care for solo providers and group practices with guaranteed bi-weekly payments. Grow your... ...: Access top-tier rates through our nationwide insurance network. All-in-One EHR (Free): Includes scheduling, documentation...
Network
Bi-weekly pay
Hourly pay
Extra income
Full time
Part time
Private practice
Remote work
Flexible hours
Headway
Eugene, OR
4 hours ago
Editorial and Data Assistant
$15 per hour
...the world’s most innovative companies improve their AI models by providing human feedback. Are you a strong communicator with fluency in... ...project overtime phases, lower rates apply. Additional incentives data is based on payments made in the past six months and is updated...
Hourly pay
Contract work
Freelance
Internship
Remote work
Flexible hours
Outlier
Eugene, OR
3 days ago
Field Technician - Eugene, OR
...carrier way! This role supports network operations in the Eugene,... ...and reliability. It involves providing technical assistance, managing... ...signaling, disaster recovery, data services, and location-based... ...process improvements related to maintenance and repair activities to...
Network
Full time
Temporary work
Part time
Work at office
Local area
Flexible hours
Night shift
T Mobile US
Eugene, OR
1 day ago
Travel Occupational Therapist (OT) - $2,240 per week in Springfield, OR
$2,240 per week
...with you every step of the way and we personally will ensure we provide you with all the tools needed to be successful.... ...your horizons, enhance your professional skills, and grow your network. SkyBridge Healthcare wants the best for our employees, and we...
Network
Full time
Contract work
Immediate start
Relocation package
SkyBridge Healthcare
Springfield, OR
1 day ago
Locum Physician (MD/DO) - Surgery - Pediatric in Springfield, OR
...assignment. This role involves 24-hour call coverage, 7am-7am, and provides evaluation and surgical treatment for a broad range of... ...emergency coverage to support the hospital and regional referral network Additional Information Required Board Certifications: Pediatric...
Network
Weekly pay
Full time
Locum
Shift work
Wellhart, LLC
Springfield, OR
1 day ago
Travel Physical Therapist (PT) - $2,275 per week in Eugene, OR
$2,275 per week
...with you every step of the way and we personally will ensure we provide you with all the tools needed to be successful.... ...your horizons, enhance your professional skills, and grow your network. SkyBridge Healthcare wants the best for our employees, and we...
Network
Full time
Contract work
Immediate start
Relocation package
Shift work
SkyBridge Healthcare
Eugene, OR
1 day ago
Travel Occupational Therapist (OT) in Springfield, OR
...Therapist Location: Springfield, OR Agency: Health Advocates Network Pay: Competitive weekly pay (inquire for details)... ...forward in your career. Our talented staffing team is committed to providing exceptional customer service, great opportunities with top pay...
Network
Weekly pay
Daily paid
Full time
Local area
Immediate start
Shift work
Health Advocates Network
Springfield, OR
1 day ago
IT Field Technician - On Call - Eugene, OR
$35 per hour
...your proximity and skills. About The Role Geeks On Site provides nationwide computer repair and technology support services for... ...business customers. The primary focus is computer troubleshooting, networking support, printer configuration, and general on site IT service...
Network
Hourly pay
For contractors
Local area
Remote work
Flexible hours
Geeks on Site
Creswell, OR
3 days ago
IT Field Technician
$19 per hour
...like a well-oiled fryer. Tackle service calls, preventative maintenance, and upgrades with confidence. Partner with awesome third-... ..., and a sense of adventure! Bonus Points For Networking or wireless setup experience. PC repair skills (hardware or...
Network
Shift work
Night shift
Rotating shift
JCK Restaurants Inc
Eugene, OR
3 days ago
Travel Cath Lab Tech in Springfield, OR
...Tech Location: Springfield, OR Agency: Health Advocates Network Pay: Competitive weekly pay (inquire for details)... ...forward in your career. Our talented staffing team is committed to providing exceptional customer service, great opportunities with top pay...
Network
Weekly pay
Daily paid
Full time
Local area
Immediate start
Shift work
Health Advocates Network
Springfield, OR
1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Provider Network Data Maintenance Associate. Be the first to apply!