• Job Description

  Req#: 10929

  Responsibilities
  
  

  · Data enter Provider’s credentialing information (i.e. applications, correspondence, spreadsheets and provider file folders) accurately and efficiently, as well as identify discrepancies that prevent a field from being data entered; update various provider and credentialing reports

  · Provide clerical support including but not limited to filing, copying, faxing, collating and scanning, inclusive of uploading scanned images into the Credentialing database

  · Receive provider recruitment forms through DMS to prepare them for entry into Cactus

  · Query Cactus database for bi-weekly submission to CAQH

  · Create, prepare and collate mailings to providers using Microsoft Office

  · Research, confirm and update various spreadsheets and download provider information from external websites

  · Respond to inquiries (telephonic or through other methods of communication) regarding receipt status of a provider file or the retrieval of a provider file

  · Update Excel spreadsheets concerning approved and delegated providers

  · Review and confirm providers are terminated from various provider systems

  · Perform additional duties and projects as assigned by management

  Qualifications
  
  

  · High School Diploma or GED required, some College or Degree preferred

  · Minimum of two (2) years of clerical experience in a general office environment

  · Basic knowledge of Microsoft Excel and Word preferred

  · Working knowledge of provider databases (i.e. QNXT Medical, QNXT Dental, Cactus, DMS or Windows-based provider databases) preferred

  · Ability to navigate and perform basic internet searches

  · Ability to cross reference specific data sets and draw relevant conclusions

  · Ability to follow through on assignments

  · Excellent written and verbal communication skills

  · Detail oriented with the ability to multi-task and work well under pressure

  · May require some moderate lifting and the ability to stand for long periods of time to file or collate.

  · Must meet performance standards including attendance and punctuality

• About the company

  Providing healthcare, pension, financial and social services, training, child care and more to 1199SEIU members. Contact us at (646) 473-9200.

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