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This job is only to be used if on a federal contract which is covered under the Service Contract Act (SCA). Responsible for accurate and timely processing of provider enrollment applications. Primary duties may include, but are not limited to: Assists in synchronization of data among multiple claims systems and application of business rules as they apply to each database. Validates the data to be housed on provider databases and ensuring adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing. Requires a High School diploma or equivalent; or any combination of education and experience, which would provide an equivalent background. Minimum of 1 year experience in claims processing, provider relations/customer service, or credentialing preferred.
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SCA Provider Enrollment Rep I is posted on all sites within our Diversity Job Network.
