Job Description

Healthcare Provider Data Specialist

Irving, TX | Onsite

COMPENSATION & SCHEDULE

• $22.00–$24.00 per hour (based on experience)
• Monday–Friday, 8-hour shift between 7:00 AM–6:00 PM
• W2, Temp to Hire
• Start date: ASAP

ROLE IMPACT: The Provider Data Specialist is responsible for maintaining accurate and up-to-date provider data across internal systems and payer platforms. This role plays a key part in supporting billing accuracy, provider directory integrity, and overall operational efficiency by ensuring provider information is complete, compliant, and properly maintained.

KEY RESPONSIBILITIES

• Maintain and update provider demographic and credentialing data in internal systems and payer platforms
• Ensure accuracy of provider records including NPI, licensure, certifications, and affiliations
• Perform data audits and validation to identify and correct discrepancies
• Manage provider data updates, changes, and terminations in a timely manner
• Support provider enrollment and credentialing teams with accurate data entry and documentation
• Maintain CAQH profiles and ensure data consistency across multiple systems
• Assist with payer roster updates and provider directory accuracy
• Research and resolve data issues impacting provider records or claims processing

REQUIRED QUALIFICATIONS

• High school diploma or GED required
• 2–3+ years of experience in provider data management, provider enrollment, credentialing, or healthcare administration
• Experience working with provider data systems, payer portals, or healthcare databases
• Strong attention to detail and data accuracy
• Ability to manage high-volume data entry and meet deadlines

CORE TOOLS & SYSTEMS

• Microsoft Office (Word, Excel, Outlook)
• Provider data management systems and credentialing platforms
• CAQH, PECOS, and payer portals
• Electronic document management systems

PREFERRED SKILLS

• Experience with provider data auditing and data quality control
• Knowledge of provider lifecycle processes (onboarding, updates, terminations)
• Understanding of payer requirements and provider directory standards
• Strong analytical and problem-solving skills
• Effective communication and cross-functional collaboration

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