Provider Credentialing & Relations Specialist

ADP, Inc.; Middletown (CT); Sur place; USD 52 000 - 78 000; Plein temps

Résumé du poste

ABH® is hiring a Provider Network Specialist in Middletown, CT to manage provider credentialing and data quality activities for the state network. The role focuses on processing applications, maintaining provider rosters, and delivering customer service to providers with professionalism and compliance.

The position supports the Director, Credentialing & Fiduciary Services and works to improve provider understanding while adhering to ABH® best practices and HIPAA policies.

Qualifications

• Five years of credentialing, customer service and administrative experience.
• Commitment to annual Conflict of Interest training.
• Strong organizational skills and attention to detail.
• Ability to interact with diverse stakeholders.

Responsabilités

• Process provider applications and reapplications ensuring compliance with standards.
• Provide professional service to providers and update materials.
• Maintain credentialed provider rosters for use by DCF Area Office staff.
• Offer technical assistance and education on Department policies and procedures.
• Maintain confidentiality of client health information and HIPAA compliance.
• Support business operations as required.

Connaissances

Organizational skills

Multi-tasking

Communication

Interpersonal skills

Attention to detail

Outils

Microsoft Office

Description du poste

ABH® is hiring a Provider Network Specialist in Middletown, CT to manage provider credentialing and data quality activities for the state network. The role focuses on processing applications, maintaining provider rosters, and delivering customer service to providers with professionalism and compliance.

The position supports the Director, Credentialing & Fiduciary Services and works to improve provider understanding while adhering to ABH® best practices and HIPAA policies.