This position is responsible for maintaining all provider data in the Managed Care System and coordinating the data internally with the Information System, Credentialing and Finance Departments.
ADDITIONAL RESPONSIBILITES:
Assist Data Management Specialist 2s collect, review and enter new provider data in the Managed Care System.
Exporting provider data and coordinating with the Credentialing and Finance departments.
Maintaining provider files including applications, contracts and facility site reviews in electronic and hard copy form.
Maintaining accurate provider data through update forms and claim information.
Reporting of contracted providers through spreadsheets and provider directories.
Gathering of provider credentialing information by working closely with the Data Management Specialist 2s, Provider Network Development Representatives and Providers.
Collect all practitioner and ancillary signed contracts, applications and necessary credentialing information. Ensure MHP’s credentialing standards are maintained.
Occasional special projects related to provider services and data management.
Perform other duties as assigned.
(EQUAL OPPORTUNITY EMPLOYER)
