• Maintained individual provider files and ensured all information was accurate and logins were available. • Completed credentialing & enrollment for Medical, Behavioral, and Dental providers and groups with Medicare & Medicaid in NY, NJ, FL, and TX. • Did primary source verification for License, NPI, DEA, & Hospital Privileges. • Updated each provider’s CAQH database file timely according to the schedule published by CMS. • Completed Credentialing & Enrollment applications… Show more • Maintained individual provider files and ensured all information was accurate and logins were available. • Completed credentialing & enrollment for Medical, Behavioral, and Dental providers and groups with Medicare & Medicaid in NY, NJ, FL, and TX. • Did primary source verification for License, NPI, DEA, & Hospital Privileges. • Updated each provider’s CAQH database file timely according to the schedule published by CMS. • Completed Credentialing & Enrollment applications for new providers. • Created all types of portals for the providers like Availity, NGS Connex, UHC Provider portal, etc. • Completed ERA, EFT, & EDI enrollment for all the providers. • Completed re-credentialing applications for already credentialed & enrolled providers in all insurances in NY, NJ & TX. • Updated W-9 form of Laboratories with all insurances. • Applied for renewal of state license for the providers, including DEA Certificate. • Other duties as assigned. Show less