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Evergreen Health

At Evergreen and our affiliates, we value collaborative, down-to-earth individuals and encourage self-expression. We recognize that our diverse workforce allows us to provide culturally competent care to everyone in our community.

The Provider Data and Credentialing Specialist aids in maintaining data and documents for various licensed providers for the purpose of verifying credentials and completing payor credentialing / re-credentialing requests for billing. This role also provides administrative support to the Billing, Coding, and FCC teams, including ordering supplies and distributing incoming mail throughout the week.

As part of the essential functions of this role, The Provider Data and Credentialing Specialist:

+ Maintains provider data and documents using shared folders, spreadsheets, and credentialing software

+ Creates and maintains credentialing tracking spreadsheets for the billing, medical and behavioral health teams

+ Maintains CAQH profile accounts, including provider data, practice location information, licensing information and uploading documents when required

+ Maintains individual NPI Registry accounts, including addresses, licenses, and taxonomy code information

+ Creates and maintains practice agreements / collaborating agreements for mid-levels at the time of hire, and when updates are needed

+ Submits new enrollment credentialing applications, demographic change forms, roster updates, directory attestations and termination requests as needed or as scheduled by payors

Qualified candidate: will have exceptional organizational and communication skills, excel in customer service, time management and demonstrate an awareness of and sensitivity to the issues and health disparities faced by underserved populations, including but not limited to individuals living with HIV, drug users, people of color, and others who are affected at a disproportionate rate

Job type: Full-time

Required Education: High school diploma or equivalent

Required Experience: Two (2) years of experience in either a clerical support, clinical administration, or insurance role; EMR (electronic medical records) experience is a plus

This position is posted with a salary range. The actual rate of pay offered will be based on a variety of individualized factors, including but not limited to a candidate’s skills, relevant experience, educational background, internal equity, and market considerations.

What Evergreen Health Offers You:

+ Multiple comprehensive medical health insurance plans for you to choose from

+ Dental and Vision coverage at no cost to you

+ Paid Time Off package that equals 4 weeks of time in your first year

+ 403b with a generous company match

+ Paid parking or monthly metro pass

+ Professional development opportunities

+ Paid lunch breaks