Job Description
Seeking a detail-oriented and tech-savvy Provider Maintenance / Network Specialist to join our growing team. In this role, you’ll manage the accuracy of provider data, support network updates, and ensure that claims process correctly through accurate provider and network configuration. You will maintain and update provider information in internal systems and support network setup and maintenance, ensuring providers are correctly tied to networks and fee schedules. You will also, collaborate with claims and eligibility teams, process demographic updates and assist in validating credentialing data. Qualifications include attention to detail, healthcare experience, strong analytical skills, and proficiency in Excel.
About Point C
Point C is a National third-party administrator (TPA) with local market presence that delivers customized self-funded benefit programs.