• Bethpage, NY, USA
  • Full Time

Do you learn quickly and want to help make a difference in the healthcare industry? Do you have experience in data entry combined with a passion for getting things right for clients? Would you like to use your skills in a collaborative and fast-paced work environment? 

If so, this may be the perfect role for you! Please review the details below and click "Apply" today if this role excites you as a potentially amazing fit!

Position Purpose:

  • The CAQH Specialist role at our Newport Credentialing Solutions division performs a critical role in ensuring accurate data in managed care credentialing activities to ensure provider participation status. CAQH is a database that houses provider credentialing information which is used by many insurance companies to keep provider records up to date.

Education & Experience:

  • Proficiency with MS Excel preferred
  • Strong organizational skills required
  • High school diploma or GED required, associate degree preferred

Licenses & Certifications Desired:

  • None

Competencies & Work Style:

  • Highly self-motivated, preferably with some experience in the healthcare physician credentialing, expirables management, re-credentialing, provider enrollment environment, or medical industry in general
  • Success-driven and results-oriented, with the ability to implement and manage cross-functional projects
  • Learns new systems/processes quickly
  • Ability to interact effectively with a variety of people (such as counterparts at health insurance organizations) and be an excellent "ambassador" for the company
  • Provides a level of customer service when speaking to CAQH and other staff members
  • Strong written and verbal communication skills required
  • Ability to prioritize tasks and projects
  • Accurate discernment on when to act independently and when to ask for guidance and/or assistance
  • Consistently demonstrates flexibility, a customer-focus, terrific organizational skills and a passion for details
  • Consistently meets project deadlines and communicates any projected delays with team lead/manager in advance of deadlines to ensure client needs are met

Responsibilities & Essential Functions:

  • Updates profiles (data entry) within applicable timeframes as directed by emails sent to client inbox
  • Create client modules within CAQH
  • Working miscellaneous projects sent by staff
  • Interacts professionally with Newport staff and CAQH staff
  • Strong verbal and communication skills are required to resolve CAQH issues

Work Environment & Physical Demands:

  • This is a largely sedentary role
  • This job operates in a clerical, office setting
  • This role routinely uses standard office equipment such as computers, phones, copiers, filing cabinets and fax machines. 
  • This position does not require travel
  • This is a full-time, 40-hour per week position although project support may require temporary adjustments to those hours only as needed


Equal Opportunity Employer/Veterans/Disabled


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