Healthcare Specialist

We are seeking a detail-oriented and highly motivated professional to ensure the timely and accurate submission of provider applications, facilitating smooth onboarding and maintaining compliance with all relevant regulations.

• Provider Enrollment & Application Management:
  • Expertise in the end-to-end provider enrollment process.
  • Proficiency in accurately completing a high volume of provider applications across various specialties and payer types.
  • Timely and efficient submission of all completed applications to relevant entities.
  • Tracking application statuses and proactively following up on outstanding items to expedite approval.
• Welcome Kit Generation & Contract Loading:
  • Creation and dissemination of comprehensive Welcome Kits for new providers, ensuring all necessary documentation and information is included.
  • Accurate and efficient loading of provider contracts into the designated system, ensuring all terms and conditions are correctly captured.
• Application Portal Expertise:
  • Extensive experience in creating and managing accounts within key healthcare application portals, including CAQH, Medicaid, Medicare (PECOS portal), and NPI portals.

• Excellent Communication and Interpersonal Skills:
  • Clear, concise, and effective verbal and written communication; highly responsive in emails to foster trust.
• Ability to Work Independently and as Part of a Team:
  • Strong sense of initiative and self-motivation, capable of managing tasks and responsibilities autonomously with minimal supervision.
• Proficiency in Google Sheets and Docs:
  • Highly skilled in utilizing Google Sheets for data organization, analysis, and visualization, including the creation of complex formulas, pivot tables, and charts.
• Comprehensive Knowledge of Computer Usage and Navigation:
  • Thorough understanding of operating systems, common software applications, and internet browsers.

• Education:
  • Bachelor's Degree (Preferred) in a relevant major such as Healthcare Administration, Health Information Management (HIM), Business Administration, or Public Health.
  • An associate's degree combined with relevant work experience (e.g., 2-3 years in provider enrollment or credentialing) may suffice for entry-level roles.
• Experience:
  • Expertise in provider enrollment and credentialing processes, ensuring ethical and accurate completion and submission of applications across various specialties and payers (e.g., Medicaid, Medicare).
  • Proficiency in managing accounts in CAQH, Medicaid, Medicare (PECOS), and NPI portals with a commitment to ethical standards in data handling.
  • Technical Skills:
    • High proficiency in Google Sheets (formulas, pivot tables, charts) and Google Docs, supporting a high-performance culture through efficient workflows.
    • Excellent typing skills (speed and accuracy) for precise data entry, contributing to operational excellence.
    • Strong knowledge of operating systems, software, and browsers to uphold professional performance standards.

• Communication:
  • Clear, professional, and ethical verbal and written communication; highly responsive in emails to foster trust.
• Organization:
  • Track application statuses and ensure timely submissions with diligence, supporting a high-performance culture.
• Independence & Teamwork:
  • Work autonomously with ethical initiative and collaborate effectively to drive team excellence.
• Attention to Detail:
  • Accurate application and contract management, reflecting commitment to quality and ethical precision.

This role demands a detail-oriented professional with a strong ethical foundation, technical proficiency, and a drive for performance excellence in credentialing.