A company is looking for a Provider Credentialing & Data Specialist to manage provider data entry and credentialing processes.
Key Responsibilities
- Perform routine data entry and verification of provider information in the Provider Data Management System
- Contact providers and internal departments to resolve incomplete or incorrect data
- Generate reports for work prioritization and support special projects as needed
Qualifications, Training, and Education
- Associate degree in business, healthcare administration, or related field, or equivalent experience
- 1-2 years of experience in a health plan, medical office, hospital, or similar administration
- Professional certification such as CPCS or CPMSM preferred but not required
- Basic to advanced proficiency in Microsoft Office and database management systems
- Knowledge of provider credentialing procedures is preferred
