
Provider Credentialing Specialist
3 days ago
Job Overview:
">We are seeking a highly skilled Provider Credentialing Specialist to play a critical role in our organization. This key position is responsible for ensuring the efficient and accurate submission of provider applications, facilitating smooth onboarding, and maintaining compliance with all relevant regulations.
The ideal candidate will possess a comprehensive understanding of the credentialing process, including provider enrollment and application management. They will also have expertise in generating welcome kits for new providers and loading provider contracts into designated systems.
Key Responsibilities:
- Manage the end-to-end provider enrollment process across various specialties and payer types.
- Develop and disseminate comprehensive Welcome Kits for new providers.
- Load provider contracts into designated systems.
- Expertise in creating and managing accounts within key healthcare application portals.
Basic Qualifications:
- Bachelor's Degree in Healthcare Administration, Health Information Management (HIM), Business Administration, or Public Health.
- Associate's degree combined with relevant work experience may suffice for entry-level roles.
- Strong knowledge of provider enrollment and credentialing processes, ensuring ethical and accurate completion and submission of applications.
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