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Data Entry Specialist

Company: Crossroads Treatment Centers
Location: Greenville
Posted on: November 10, 2019

Job Description:

Company DescriptionCrossroads Treatment Centerswas founded on May 5, 2005 to serve a patient population with opioid addiction. Since its founding in 2005, the company has grown rapidly and now includes 80+ treatment centers in 10 states. Each member of the Crossroads team specializes in an area that supports the recovery of over 20,000 patients. Crossroads' clinical staff includes physicians, pharmacists, counselors, nurses, and other service coordinators. Along with medication management, our staff works closely with each patient to create an individualized treatment plan aimed at building recovery and relapse prevention skills.Job DescriptionWe are seeking aData Entry Specialistto join our Credentialing team at Crossroads Treatment Center's corporate office! Bring your talent to our vision and work in a fun, fast-paced, casual work environment. This position is responsible for assisting physicians and payers with preparing and submitting credentialing applications. The Data Entry Specialist is a detail-oriented professional who provides exceptional customer service to internal colleagues and external partners.Daily Responsibilities:

  • Responsible for following up on the status of applications for physicians and payers
  • Completes certification/licensure registry checks to ensure compliance with contractual credentialing standards.
  • Keep a detailed log of all pending and completed applications.Credentialing policy and procedures development and maintenance.Enters large volumes of data entry accurately and in a timely manner.Credentialing/re-credentialing including provider outreach and quality reviews, coordination of Primary Source Verification (PSV) and reporting (NCQA/URAC), provider rostermanagement, monthly monitoring coordination.Create & update CAQH provider profilesEnsure credentials are up to date, and that the said credentials and qualifications are not expired.Communicate the results and status of the applications to providers, payers, managers and co-workers.Requirements:
    High school diploma or equivalentMust have experience credentialing medical providersMust have experience creating CAQH profilesProvider relations experience including network managementExperience with developing and maintaining credentialing policies and proceduresMust be detail oriented and have time management skills to meet deadlinesAbility to multi-task and work in a fast-paced environmentBehavioral health experience a plus

Keywords: Crossroads Treatment Centers, Greenville , Data Entry Specialist, Administration, Clerical , Greenville, South Carolina

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