Practitioner Specialist

MultiPlan

(New York, New York)

Full Time

Job Posting Details

About MultiPlan

Founded in 1980, MultiPlan is the industry’s most comprehensive provider of healthcare cost management solutions.

Summary

Responsible for the maintenance of company’s practitioner databases; adding and editing participating practitioner records as required by company’s credentialing standards.

This job works under close supervision to complete job responsibilities. Work is prescribed and completed with very little autonomy and with little discretion to vary from established policies and procedures. The incumbent relies on previous experience and judgment to support department management in completing daily activities. This job does not directly supervise other personnel.

Responsibilities

- Input new data for practitioners added to company’s network through individual contracts and newly acquired group contracts
2. Maintain changes to current practitioner files, including practitioner terminations
3. Obtain missing data and update practitioner profiles relating to both practitioner directory and credentialing orphans
4. Research and respond to adhoc requests (status checks) from both internal and external customers including updating practitioner profiles according to operational guidelines
5. Complete special projects as assigned by department manager which includes both telephonic and electronic investigative work up.
6. Collaborate, coordinate, and communicate across disciplines and departments.
7. Ensure compliance with HIPAA regulations and requirements.
8. Demonstrate commitment to the Company’s core values.
9. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

Input new data for practitioners added to company’s network through individual contracts and newly acquired group contracts
Maintain changes to current practitioner files, including practitioner terminations
Obtain missing data and update practitioner profiles relating to both practitioner directory and credentialing orphans
Research and respond to adhoc requests (status checks) from both internal and external customers including updating practitioner profiles according to operational guidelines
Complete special projects as assigned by department manager which includes both telephonic and electronic investigative work up.
Collaborate, coordinate, and communicate across disciplines and departments.
Ensure compliance with HIPAA regulations and requirements.
Demonstrate commitment to the Company’s core values.
The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

Ideal Candidate

Minimum high school diploma, GED, or 3 years of related experience. Bachelor’s degree preferred.
Required licensures, professional certifications, and/or Board certifications as applicable
Communication (written, verbal, listening) organization, telephone, interpersonal, analytical and data entry skills
Ability to be detail oriented