Responsible for accurate and timely maintenance of provider information on claims and provider databases
Include synchronization of data among multiple claims systems and application of business rules as they apply to each database.
Validates the data to be housed on provider databases and ensuring adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.
Creates individual profile and contracts, handles update requests
Escalate tickets that needs upper management review in timely manner.
“It definitely helped transform my business and take a significant load off for me.”
Samori Coles
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