Credentialing Data Entry Specialist

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Your Impactful Role

The Credentialing Clerk is responsible for assisting with filing/maintaining the files of physicians, allied health professionals, data entry into credentialing software Credential My Doc, and other key clerical functions of the Credentialing Department. The credentialing clerk will be assisting with attestations for Council for Affordable Quality Healthcare (CAQH) Universal Data Base and creating files for providers, answering requests for any documents needed with proper discretion as well as filing any documents received.
• Communicating with external and internal customers of completing requests for practice verifications on required excel spreadsheets for providers and practice locations such as Paradigm, Corvel, Coventry or all other insurance plans.
• Printing and faxing documents upon request as needed.
• Assisting with restructuring the Credentialing files of providers at the Credentialing Manager’s discretion.
• The credentialing clerk will be assisting with attestations for CAQH Universal Data Base and creating files for providers, answering requests for any documents needed with proper discretion as well as filing any documents received.

Qualifications
• High School Degree or College Degree preferred
• Knowledge of MS Word, MS Excel, Outlook, Anodyne Analytics, and Athena software.