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Role Description

As a Network Data Specialist for Banner Plans & Networks, you will be part of the Provider Data Management Team. You will call upon your provider management and IDX application experience to enter provider information into Provider Manager for claims payments to be made. Prior work experience in provider network planning, process management, or healthcare operations experience is highly preferred.

Your work location will be entirely remote. Your work shifts will be Monday-Friday working in business hours in the Arizona Time Zone. This is a 40 hour per week position currently.

This is a Banner Staffing Services position. BSS roles do not have a guarantee of hours or length of position. This role does not have Health or Paid Time Off benefits.

This is a fully remote position and available if you live in the following states only: AZ, CA, CO, NE, NV, and WY. With this remote work, candidates must be self-motivated, possess moderate to strong tech skills and be able to meet daily and weekly productivity metrics.

Qualifications

• Strong knowledge and understanding of healthcare planning as normally demonstrated through a minimum of one year of provider network planning and/or process management or operations experience.
• Requires strong Excel knowledge, ability to analyze statistical data, and the ability to work on a variety of projects in an organized fashion.
• Must possess a strong knowledge of business and/or healthcare as normally obtained through provider relations experience or healthcare provider file maintenance experience.
• Must have an understanding of managed care reimbursement strategies and methodologies for physicians, hospitals and ancillary providers.
• Must be able to communicate effectively with others by speaking, reading, and writing.

Requirements

• Bachelor’s degree in business, healthcare administration, or related field (preferred).
• One year of medical claims auditing and or provider data demographic processing experience and an understanding of medical terminology and knowledge of CPT-4 and ICD-9 coding (preferred).
• Additional related education and/or experience preferred.

Benefits

• Competitive wages
• Paid orientation
• Flexible Schedules (select positions)
• Fewer Shifts Cancelled
• Weekly pay
• 403(b) Pre-tax retirement
• Employee Assistance Program
• Employee wellness program
• Discount Entertainment tickets
• Restaurant/Shopping discounts
• Auto Purchase Plan