Job Summary:
We are seeking a focused and detail-oriented Data Enrichment Specialist to join our onshore operations team. In this role, you will be the backbone of our provider data integrity, responsible for the precise entry, verification, and maintenance of healthcare provider credentials within our secure databases.
As part of the Data Enrichment Team , you will ensure our clients remain compliant with stringent U.S. state and federal regulations. This role is a blend of high-volume data entry, meticulous research, and professional outreach, requiring an individual who thrives in a "quality-first" environment. You aren't just entering data; you are ensuring that healthcare providers are cleared to save lives. We value onshore talent who understand the nuances of the American healthcare landscape and take pride in the integrity of their work.
What will you do?
- Precision Data Entry:Execute enrichment tasks including application data entry, vendor resource verifications, and board certification updates with 100% accuracy.
- Verification & Research:Utilize online primary source databases to cross-check and validate provider information provided by third-party entities.
- Application Lifecycle Management:Submit completed credentialing applications and supporting documentation to government and private payers; monitor progress until "in-network" status is confirmed.
- Government Compliance:Handle revalidation requests issued by government payers (Medicare/Medicaid) to ensure uninterrupted service for providers.
- Professional Communication:Manage inbound and outbound calls to state boards and insurance payers to track application statuses and resolve discrepancies.
- Quality Control:Audit applications for completeness and accuracy, participating in internal peer-review processes to maintain high-performance standards.
- Data Security:Maintain a high degree of confidentiality and trust when handling sensitive Provider Personal Identifiable Information (PII).
Qualifications:
- Experience:Previous experience in a U.S.-based call center, data entry role, or customer service environment required.
- Industry Knowledge:Familiarity with provider credentialing, insurance enrollment, or medical billing (CMS/CAQH) is highly preferred.
- Communication:Excellent written and verbal English communication skills, with the ability to navigate complex professional conversations with state agencies.
- Technical Savvy:Strong proficiency in Microsoft Office (Excel/Word) and the ability to quickly learn proprietary credentialing software.
- Work Style:Ability to work independently in a remote or office setting while remaining an active, collaborative member of the team.
- Adaptability:Comfortable with shifting priorities and evolving healthcare regulations.
About Bold Business:
Bold Business is a US-based global business process outsourcing (BPO) firm with over 25 years of experience and $7B+ in client engagements. We help fast-growing companies scale through smart talent strategies, automation, and technology-driven solutions.
Bold Business recruiters always use a “@ boldbusiness.com ” email address and/or from our Applicant Tracking System, Greenhouse. Any variation of this email domain should be considered suspicious. Additionally, Bold Business recruiters and authorized representatives will never request sensitive information in email or via text.
