Provider Data and Credentialing Specialist - Buffalo
1 month ago

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 ul >< h2 >< b > Skills b > h2 >< ul >< li > Exceptional organizational skills < li > Excel in customer service < li > Time management skills < br/li >& nbsp ; Excellent communication skills , Job description
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