[Hiring] Provider Validation Specialist @OpsArmy

Role Description

We are looking for a detail-oriented Provider Validation Specialist to support a medical records retrieval workflow. In this role, you will:

• Research healthcare providers and identify the appropriate custodians for different types of medical records and billing documents.
• Verify submission requirements, prepare accurate request information, maintain provider data, and resolve issues that may delay records requests.

The ideal candidate is highly organized, comfortable conducting detailed research, and able to work accurately with healthcare, billing, and provider information.

Qualifications

• Excellent written English with strong attention to detail.
• Strong research and information-verification skills.
• Ability to analyze multiple sources and identify accurate information.
• Strong organizational and documentation skills.
• Ability to identify discrepancies, missing information, and duplicate records.
• Comfortable working independently and following established processes.
• Strong problem-solving and follow-up skills.
• Ability to work a schedule that overlaps with U.S. Eastern Time business hours.

Requirements

• Shortlisted candidates may be asked to complete a timed skills assessment independently and without the use of AI tools.
• The assessment may evaluate:
  • Identifying healthcare providers, custodians, and billing entities.
  • Determining when requests should be separated.
  • Verifying submission methods and provider-specific requirements.
  • Understanding basic HIPAA authorization requirements.
  • Research persistence and information verification.
  • Identifying errors, gaps, and duplicate information.
  • Knowing when to resolve an issue independently and when to escalate.
• Prior medical records experience is not required. The assessment focuses on research, reasoning, accuracy, and problem-solving skills.

Preferred Experience

• Experience in any of the following areas is an advantage:
  • Researching healthcare providers, facilities, or billing entities.
  • Release of Information (ROI).
  • Health Information Management (HIM).
  • Medical billing.
  • Experience with UB-04 or CMS-1500 claim forms.
  • NPI lookups and verification.
  • Explanation of Benefits (EOBs).
  • Legal support, particularly personal injury or medical malpractice.
  • Medical records retrieval or release processes.
  • Experience working with record-release or healthcare information vendors.

Key Skills

• Healthcare provider research.
• Data verification and accuracy.
• Document and information review.
• Medical billing knowledge.
• Research and investigation.
• Database management.
• Attention to detail.
• Written communication.
• Problem-solving.
• Organization and follow-through.

Benefits

• Full-time remote work.
• Opportunity to develop experience in healthcare information and medical records processes.
• Opportunities for advancement into senior validation, provider data, quality, or team leadership roles.
• A collaborative, fast-paced work environment focused on accuracy and continuous improvement.