Provider Data Entry Specialist – Full Remote – Healthcare Credentialing, Contract Management & Data Quality Assurance at careerzynith
About careerzynith – Pioneering Healthcare Solutions
careerzynith is a leading innovator in the managed‑care industry, dedicated to delivering seamless, patient‑focused health plan services across North America. With a commitment to technology‑driven efficiency and a culture that values precision, collaboration, and continuous learning, careerzynith empowers its teams to make a tangible impact on the health and well‑being of millions. As a fully remote organization, careerzynith embraces flexibility, diversity, and the power of a distributed workforce, ensuring that every employee can thrive from any location while contributing to a shared mission of excellence in healthcare administration.
Position Overview
The Remote Provider Data Entry Specialist is a critical member of careerzynith’s Provider Operations team. In this role, you will be responsible for the accurate entry, validation, and maintenance of provider demographic and contract information within our sophisticated health‑plan system. Your meticulous attention to detail will directly influence claims adjudication speed, financial accuracy, and overall provider satisfaction. This is a full‑remote, direct‑hire position offering a competitive hourly rate, comprehensive benefits, and a supportive environment for professional growth.
Key Responsibilities
Data Management & Entry
Receive, review, and process provider information received from external sources, ensuring completeness and compliance with careerzynith standards.
Enter provider demographic, credentialing, and contract affiliation data into the careerzynith provider management system with a focus on accuracy and timeliness.
Perform routine audits of newly loaded provider records to verify data integrity, resolve discrepancies, and maintain high‑quality standards.
Document audit findings and provide constructive feedback to internal teams and external partners.
System Integration & Testing
Collaborate with IT and implementation teams to support system‑wide integration projects, ensuring provider data aligns with new platform requirements.
Participate in functional testing, user acceptance testing (UAT), and post‑implementation validation activities.
Identify and report system bugs or workflow inefficiencies, contributing to continuous improvement initiatives.
Training & Knowledge Transfer
Develop and deliver training materials for new hires and existing staff on provider data entry procedures, system navigation, and compliance protocols.
Serve as a subject‑matter expert, answering day‑to‑day queries and providing mentorship to junior team members.
Maintain an up‑to‑date knowledge base that reflects changes in regulatory requirements, careerzynith policies, and industry best practices.
Compliance & Confidentiality
Adhere strictly to HIPAA regulations, careerzynith privacy policies, and all applicable managed‑care organization (MCO) guidelines.
Ensure that all provider data is handled with the highest level of confidentiality and security.
Maintain reliable attendance and punctuality according to the agreed‑upon schedule (7:00 AM – 4:00 PM or 7:30 AM – 4:30 PM PST).
Essential Qualifications
Education: High School Diploma or GED equivalent required; additional coursework in health administration, medical coding, or related fields is a plus.
Experience: Minimum of 1 + year of experience in a managed‑care environment, medical office setting, or provider credentialing role.
Technical Skills: Proven ability to navigate electronic health record (EHR) systems, provider portals, and data entry platforms with speed and accuracy.
Regulatory Knowledge: Familiarity with HIPAA, ACA, and other healthcare compliance standards.
Communication: Strong verbal and written communication skills; ability to convey complex information clearly to internal teams and external providers.
Attention to Detail: Demonstrated track record of delivering error‑free data entry and conducting thorough quality checks.
Preferred Qualifications & Additional Assets
Experience with medical coding (ICD‑10, CPT) or credentialing software such as CAQH, Availity, or similar platforms.
Certification in Certified Provider Credentialing Specialist (CPCS) or Certified Professional Coder (CPC) is advantageous.
Prior exposure to claims adjudication processes and understanding of how provider data impacts reimbursement cycles.
Ability to work independently in a remote setting while maintaining high levels of self‑motivation and accountability.
Proficiency in Microsoft Office Suite, especially Excel, for data analysis and reporting.
Core Skills & Competencies
Analytical Thinking: Ability to interpret data, spot trends, and recommend corrective actions.
Problem‑Solving: Quickly resolve data discrepancies and navigate complex provider inquiries.
Time Management: Efficiently prioritize tasks to meet daily and weekly processing targets.
Team Collaboration: Work closely with cross‑functional teams—including Provider Relations, Claims, IT, and Compliance—to achieve shared goals.
Customer Service Orientation: Provide courteous, professional support to providers, ensuring a positive experience with careerzynith.
Career Growth & Learning Opportunities
careerzynith invests heavily in the professional development of its employees. As a Provider Data Entry Specialist, you will have access to:
Structured onboarding and continuous training programs that keep you at the forefront of industry changes.
Mentorship from senior credentialing analysts and health‑plan architects.
Opportunities to transition into advanced roles such as Provider Credentialing Analyst, Claims Operations Lead, or Health‑Plan Integration Specialist.
Funding for relevant certifications (e.g., CPC, CPCS) and attendance at industry conferences.
Regular performance reviews that align personal goals with careerzynith’s strategic objectives, fostering a clear path for promotion.
Compensation, Benefits & Perks
careerzynith offers a competitive compensation package designed to attract and retain top talent:
Hourly Rate: $26.00 per hour, payable bi‑weekly.
Health Benefits: Comprehensive medical, dental, and vision coverage with multiple plan options.
Retirement Savings: 401(k) plan with company match to help you build long‑term financial security.
Paid Time Off: 15 days of PTO annually, plus additional holidays and sick leave.
Remote Work Stipend: Reimbursement for home office equipment and internet expenses.
Well‑Being Programs: Access to mental‑health resources, wellness challenges, and employee assistance programs.
Learning Resources: Subscription to online learning platforms (e.g., LinkedIn Learning, Coursera) for skill enhancement.
Work Environment & Culture at careerzynith
At careerzynith, we believe that a supportive, inclusive, and flexible work environment fuels innovation. Our remote‑first culture is built on:
Collaboration: Regular virtual team huddles, cross‑departmental brainstorming sessions, and open‑door policies with leadership.
Diversity & Inclusion: A commitment to hiring diverse talent and fostering an environment where every voice is heard.
Recognition: Quarterly awards, peer‑to‑peer shout‑outs, and performance bonuses that celebrate achievements.
Work‑Life Balance: Flexible scheduling within the defined PST windows, allowing you to manage personal commitments while delivering excellence.
Technology Enablement: State‑of‑the‑art collaboration tools (Slack, Teams, Zoom) and secure VPN access to ensure seamless remote operations.
Application Process & Next Steps
If you are a detail‑oriented professional with a passion for healthcare data integrity and thrive in a remote setting, careerzynith wants to hear from you. To apply, click the link below, submit your updated resume, and include a brief cover letter highlighting your relevant experience and why you are excited to join careerzynith.
Apply Now – Join careerzynith Today!
Closing Statement
careerzynith is proud to be an equal‑opportunity employer. We celebrate the unique perspectives each employee brings and are committed to providing an accessible, supportive, and rewarding workplace for all. Take the next step in your career and become a vital part of a forward‑thinking organization that values precision, compassion, and growth. Apply today and help us shape the future of managed‑care excellence.
Apply for this job
careerzynith is a leading innovator in the managed‑care industry, dedicated to delivering seamless, patient‑focused health plan services across North America. With a commitment to technology‑driven efficiency and a culture that values precision, collaboration, and continuous learning, careerzynith empowers its teams to make a tangible impact on the health and well‑being of millions. As a fully remote organization, careerzynith embraces flexibility, diversity, and the power of a distributed workforce, ensuring that every employee can thrive from any location while contributing to a shared mission of excellence in healthcare administration.
Position Overview
The Remote Provider Data Entry Specialist is a critical member of careerzynith’s Provider Operations team. In this role, you will be responsible for the accurate entry, validation, and maintenance of provider demographic and contract information within our sophisticated health‑plan system. Your meticulous attention to detail will directly influence claims adjudication speed, financial accuracy, and overall provider satisfaction. This is a full‑remote, direct‑hire position offering a competitive hourly rate, comprehensive benefits, and a supportive environment for professional growth.
Key Responsibilities
Data Management & Entry
Receive, review, and process provider information received from external sources, ensuring completeness and compliance with careerzynith standards.
Enter provider demographic, credentialing, and contract affiliation data into the careerzynith provider management system with a focus on accuracy and timeliness.
Perform routine audits of newly loaded provider records to verify data integrity, resolve discrepancies, and maintain high‑quality standards.
Document audit findings and provide constructive feedback to internal teams and external partners.
System Integration & Testing
Collaborate with IT and implementation teams to support system‑wide integration projects, ensuring provider data aligns with new platform requirements.
Participate in functional testing, user acceptance testing (UAT), and post‑implementation validation activities.
Identify and report system bugs or workflow inefficiencies, contributing to continuous improvement initiatives.
Training & Knowledge Transfer
Develop and deliver training materials for new hires and existing staff on provider data entry procedures, system navigation, and compliance protocols.
Serve as a subject‑matter expert, answering day‑to‑day queries and providing mentorship to junior team members.
Maintain an up‑to‑date knowledge base that reflects changes in regulatory requirements, careerzynith policies, and industry best practices.
Compliance & Confidentiality
Adhere strictly to HIPAA regulations, careerzynith privacy policies, and all applicable managed‑care organization (MCO) guidelines.
Ensure that all provider data is handled with the highest level of confidentiality and security.
Maintain reliable attendance and punctuality according to the agreed‑upon schedule (7:00 AM – 4:00 PM or 7:30 AM – 4:30 PM PST).
Essential Qualifications
Education: High School Diploma or GED equivalent required; additional coursework in health administration, medical coding, or related fields is a plus.
Experience: Minimum of 1 + year of experience in a managed‑care environment, medical office setting, or provider credentialing role.
Technical Skills: Proven ability to navigate electronic health record (EHR) systems, provider portals, and data entry platforms with speed and accuracy.
Regulatory Knowledge: Familiarity with HIPAA, ACA, and other healthcare compliance standards.
Communication: Strong verbal and written communication skills; ability to convey complex information clearly to internal teams and external providers.
Attention to Detail: Demonstrated track record of delivering error‑free data entry and conducting thorough quality checks.
Preferred Qualifications & Additional Assets
Experience with medical coding (ICD‑10, CPT) or credentialing software such as CAQH, Availity, or similar platforms.
Certification in Certified Provider Credentialing Specialist (CPCS) or Certified Professional Coder (CPC) is advantageous.
Prior exposure to claims adjudication processes and understanding of how provider data impacts reimbursement cycles.
Ability to work independently in a remote setting while maintaining high levels of self‑motivation and accountability.
Proficiency in Microsoft Office Suite, especially Excel, for data analysis and reporting.
Core Skills & Competencies
Analytical Thinking: Ability to interpret data, spot trends, and recommend corrective actions.
Problem‑Solving: Quickly resolve data discrepancies and navigate complex provider inquiries.
Time Management: Efficiently prioritize tasks to meet daily and weekly processing targets.
Team Collaboration: Work closely with cross‑functional teams—including Provider Relations, Claims, IT, and Compliance—to achieve shared goals.
Customer Service Orientation: Provide courteous, professional support to providers, ensuring a positive experience with careerzynith.
Career Growth & Learning Opportunities
careerzynith invests heavily in the professional development of its employees. As a Provider Data Entry Specialist, you will have access to:
Structured onboarding and continuous training programs that keep you at the forefront of industry changes.
Mentorship from senior credentialing analysts and health‑plan architects.
Opportunities to transition into advanced roles such as Provider Credentialing Analyst, Claims Operations Lead, or Health‑Plan Integration Specialist.
Funding for relevant certifications (e.g., CPC, CPCS) and attendance at industry conferences.
Regular performance reviews that align personal goals with careerzynith’s strategic objectives, fostering a clear path for promotion.
Compensation, Benefits & Perks
careerzynith offers a competitive compensation package designed to attract and retain top talent:
Hourly Rate: $26.00 per hour, payable bi‑weekly.
Health Benefits: Comprehensive medical, dental, and vision coverage with multiple plan options.
Retirement Savings: 401(k) plan with company match to help you build long‑term financial security.
Paid Time Off: 15 days of PTO annually, plus additional holidays and sick leave.
Remote Work Stipend: Reimbursement for home office equipment and internet expenses.
Well‑Being Programs: Access to mental‑health resources, wellness challenges, and employee assistance programs.
Learning Resources: Subscription to online learning platforms (e.g., LinkedIn Learning, Coursera) for skill enhancement.
Work Environment & Culture at careerzynith
At careerzynith, we believe that a supportive, inclusive, and flexible work environment fuels innovation. Our remote‑first culture is built on:
Collaboration: Regular virtual team huddles, cross‑departmental brainstorming sessions, and open‑door policies with leadership.
Diversity & Inclusion: A commitment to hiring diverse talent and fostering an environment where every voice is heard.
Recognition: Quarterly awards, peer‑to‑peer shout‑outs, and performance bonuses that celebrate achievements.
Work‑Life Balance: Flexible scheduling within the defined PST windows, allowing you to manage personal commitments while delivering excellence.
Technology Enablement: State‑of‑the‑art collaboration tools (Slack, Teams, Zoom) and secure VPN access to ensure seamless remote operations.
Application Process & Next Steps
If you are a detail‑oriented professional with a passion for healthcare data integrity and thrive in a remote setting, careerzynith wants to hear from you. To apply, click the link below, submit your updated resume, and include a brief cover letter highlighting your relevant experience and why you are excited to join careerzynith.
Apply Now – Join careerzynith Today!
Closing Statement
careerzynith is proud to be an equal‑opportunity employer. We celebrate the unique perspectives each employee brings and are committed to providing an accessible, supportive, and rewarding workplace for all. Take the next step in your career and become a vital part of a forward‑thinking organization that values precision, compassion, and growth. Apply today and help us shape the future of managed‑care excellence.
Apply for this job