Remote Healthcare Data Entry Specialist (Provider Network Data)

Randstad USA is seeking a Remote Provider Data Entry Specialist to support healthcare operational and state regulatory compliance initiatives. The role involves reviewing practitioner profiles and provider documentation, researching and verifying information, updating health plan database systems, correcting errors, and tracking daily activities.

Responsibilities:

• Independent Queue Management: Pull daily assignments from dedicated work folders and independently process a minimum target of 8 completed submissions per 8-hour shift
• Data Processing & Regulatory Research: Review incoming source documents (practitioner profiles, demographic updates, and emails), perform system research, and submit accurate profile updates per established business and state regulatory rules
• Data Verification & Entry: Compile, sort, and verify data accuracy prior to inputting information into proprietary health plan systems
• Error Audit & Correction: Compare entered data against source documents to identify, locate, and correct data entry errors, escalating complex discrepancies to supervisors as needed
• Activity Tracking: Maintain detailed digital logs of daily completed work and operational activities

Requirements:

• High School Diploma or GED required
• Minimum of 2+ years of related experience in data entry, healthcare operations, or health plan administration
• Recent experience working in healthcare, provider-facing operations, or health insurance environments (candidates without recent healthcare experience will not be considered)
• Applicants must complete and pass a Typing Test and a Computer Literacy Test during the screening process
• Proficiency with Microsoft Office Suite (Word, Excel) and strong digital file navigation capabilities
• Exceptional attention to detail, strong time-management skills, effective written and verbal communication, and the ability to work independently in a fast-paced environment
• Previous experience utilizing Health Net core systems (e.g., ABS, NDS, Macess, Portico )
• Prior experience with corporate health plan platforms and data entry systems
• Background handling provider directory updates or state regulatory compliance tasks (e.g., California SB137)