Welcome!

Job Summary We are seeking a detail-oriented Data Enrichment Specialist to join our onshore operations team. In this role, you will uphold our provider data integrity by managing the precise entry, primary source verification, and maintenance of healthcare provider credentials within our secure databases. As a core member of the Data Enrichment Team, you will ensure clients remain compliant with stringent U.S. state and federal healthcare standards.

This position combines high-volume data processing, investigative research, and targeted outreach. You will not simply be entering records—you will ensure healthcare providers are properly vetted, verified, and cleared to deliver care.

Key Responsibilities

• Precision Data Entry: Execute end-to-end data enrichment tasks, including credentialing application entry, vendor resource verifications, and board certification updates, maintaining rigorous accuracy standards.
• Verification & Primary Source Research: Query online primary source databases to validate provider licenses, credentials, and third-party submissions.
• Application Lifecycle Management: Submit completed enrollment packets to commercial and government payers, actively tracking files through final "in-network" determination.
• Payer Compliance & Revalidation: Process government payer revalidations (Medicare/Medicaid) on schedule to prevent service disruptions or billing lapses.
• Payer & Agency Outreach: Conduct professional inbound and outbound calls with state licensing boards and insurance plans to resolve discrepancies and clear application bottlenecks.
• Quality Assurance: Audit files for documentation gaps and participate in peer-review quality checks prior to final submission.
• Data Security & HIPAA Compliance: Safeguard sensitive Provider Personally Identifiable Information (PII) in strict accordance with company security standards and healthcare privacy laws.

Qualifications

• Experience: Prior experience in high-accuracy data entry, administrative support, or U.S.-focused healthcare operations.
• Industry Knowledge: Working knowledge of provider credentialing, payer enrollment, CAQH, or medical billing (CMS-1500/837) is strongly preferred.
• Communication: Polished verbal and written English communication skills, with confidence navigating complex inquiries with state boards and payer representatives.
• Technical Proficiency: Intermediate to advanced skills in Microsoft Office (specifically Excel data manipulation) and aptitude for learning proprietary databases.
• Work Style: Self-directed and disciplined in a remote or hybrid environment, with strong accountability to team deadlines.
• Adaptability: Demonstrated ability to manage shifting priorities and stay current with changing regulatory requirements.