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Provider Data Management & Credentialing Specialist I buy in US, Free Classifieds Ads

Company Name:
Centene
## Description
Position Purpose:
Perform credentialing and provider data
management
related activities based on plan specifications.
Position Responsibilities:
Create credentialing files consistent with NCQA standards
Update provider and practitioners status to par by adding claims payment information
Enroll par and non par providers and practitioners into the provider data management system
Research, review and make updates to user requests within provider data management system
Perform credentialing and re-credentialing activities according to plan specifications
Follow up with physicians and providers on missing information May review files for provisional credentialing checks
## Qualifications
Knowledge/Experience:
High school diploma or equivalent. 1+ years of data entry, customer service, medical office, provider data management, credentialing or healthcare operations (i.e. claims processing, billing, provider relations or contracting) experience, preferably in a managed care or insurance environment.
## Job
Job: Operations
Primary Location: USA-Missouri-Clayton
Other Locations: USA-Centene-Centene
Organization: Provider Data Management
Schedule: Full-time
Req ID: 003GP
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