MogiSutherland
Provider Data Management Specialist
Full-time
About the job
Job Description • Accurately enter, update, and maintain provider information in internal systems • Validate provider credentialing data, contracts, and demographic data to ensure accuracy • Ensure provider records are in compliance with CMS, HIPAA, and state/federal regulations • Conduct routine audits and reconciliations to maintain data integrity. • Review and load the required data into the health plan system as the process guidelines require • Manage and monitor daily activities and meet the set targets • Work independently and complete the tasks in established timeframe with minimal supervision • Must be able to prioritize and complete all job duty requirements • Must be able to...