Provider Data and Credentialing Specialist - Buffalo

Only for registered members Buffalo, United States

1 month ago

Default job background
Full time

Job summary

The Provider Data and Credentialing Specialist aids in maintaining data and documents for various licensed providers for the purpose of verifying credentials and completing payor credentialing / re-credentialing requests for billing.

Responsibilities

  • Maintains provider data and documents using shared folders, spreadsheets, and credentialing software
  • Creates and maintains credentialing tracking spreadsheets for the billing, medical and behavioral health teams
  • Maintains CAQH profile accounts, including provider data, practice location information,
    licensing information
    and uploading documents when required
  • Maintains individual NPI Registry accounts,
    including addresses,
    taxonomy code information
    Create s maintains practice agreements / collaborating agreements
    f or mid-levels at the time of hire ,Submits new enrollment credentialing applications , demographic change forms , roster updates , directory attestations < br >and termination requests as needed or as scheduled by payors < h2 >< b > Skills < ul >< li > Exceptional organizational skills < li > Excel in customer service < li > Time management skills < br/li >& nbsp ; Excellent communication skills ,
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