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Evergreen Health · 8 hours ago

Provider Data and Credentialing Specialist

Evergreen Commons, Buffalo, NY, US

Full-time

Onsite

Entry Level

$42K/yr - $46K/yr

2+ years exp

Evergreen Health is committed to providing culturally competent care and is seeking a Provider Data and Credentialing Specialist. This role involves maintaining provider data and documents, supporting credentialing processes, and providing administrative assistance to various teams.

Health CareMedicalNon ProfitService Industry

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, licenses, and taxonomy code information

Creates and maintains practice agreements / collaborating agreements for mid-levels at the time of hire, and when updates are needed

Submits new enrollment credentialing applications, demographic change forms, roster updates, directory attestations and termination requests as needed or as scheduled by payors

Qualification

Credentialing softwareEMR experienceOrganizational skillsCommunication skillsCustomer serviceSensitivity to health disparitiesTime management

Required

High school diploma or equivalent

Two (2) years of experience in either a clerical support, clinical administration, or insurance role

Exceptional organizational and communication skills

Excel in customer service

Time management skills

Demonstrate an awareness of and sensitivity to the issues and health disparities faced by underserved populations, including but not limited to individuals living with HIV, drug users, people of color, and others who are affected at a disproportionate rate