
Healthcare Provider Credentialing Professional
1 day ago
We seek a meticulous and organized professional to oversee the provider enrollment process from start to finish. The ideal candidate will possess a deep understanding of healthcare administration, including state-specific regulations and payer requirements.
Key Responsibilities:- Application Management:
- Accurately complete high volumes of provider applications across various specialties and payers.
- Ensure timely submission of all completed applications to relevant entities.
- Track application statuses and follow up on outstanding items to expedite approval.
- Welcome Kit Generation & Contract Loading:
- Create comprehensive Welcome Kits for new providers, including necessary documentation and information.
- Accurately load provider contracts into designated systems, ensuring all terms are correctly captured.
- Portal Expertise:
- Experience in creating and managing accounts within key healthcare portals, including CAQH, Medicaid, Medicare, and NPI.
- Bachelor's Degree in Healthcare Administration or related field.
- Associate's degree combined with relevant work experience may be sufficient for entry-level roles.
- Expertise in provider enrollment processes and proficiency in portal management.
- Strong communication skills and ability to collaborate effectively.
- Attention to detail and commitment to quality and accuracy.
- Ability to work independently and as part of a team.
This role demands a skilled professional with expertise in provider enrollment and credentialing.
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