Evergreen Health ยท 19 hours ago
Provider Data and Credentialing Specialist
Buffalo, NY
Full-time
Onsite
Entry Level
2+ years expEvergreen Health is committed to providing culturally competent care through a diverse workforce. The Provider Data and Credentialing Specialist is responsible for maintaining provider data and documents, verifying credentials, and supporting billing and coding 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
Required
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
High school diploma or equivalent
Two (2) years of experience in either a clerical support, clinical administration, or insurance role
EMR (electronic medical records) experience is a plus
Benefits
Multiple comprehensive medical health insurance plans for you to choose from
Dental and Vision coverage at no cost to you
Paid Time Off package that equals 4 weeks of time in your first year
403b with a generous company match
Paid parking or monthly metro pass
Professional development opportunities
Paid lunch breaks
Company
Evergreen Health
Evergreen Health is a not-for-profit organization that fosters healthy communities by providing medical, supportive and behavioral services.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Jesse A. Gasbarro, CPA
Chief Financial Officer
Michael Lee
Chief Operating Officer
Recent News
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