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20 hours ago
This is a detail-oriented role that demands a strong ethical foundation, technical proficiency, and a drive for performance excellence in credentialing.
Job Responsibilities- Provider Enrollment & Application Management:
- Expertise in the end-to-end provider enrollment process, ensuring 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.
- Tracking application statuses and ensuring timely submissions with diligence.
- Education: Bachelor's degree in a relevant major such as 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.
- Experience: Expertise in provider enrollment and credentialing processes, maintaining integrity in compliance.
- Technical Skills: Proficiency in Google Sheets (formulas, pivot tables, charts) and Google Docs, supporting a high-performance culture through efficient workflows.
- Comprehensive Knowledge: Demonstrated expertise in provider enrollment and credentialing processes, with a strong understanding of operating systems, software, and browsers.
- Independence & Teamwork: Ability to 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.
- Communication: Clear, professional, and ethical verbal and written communication; highly responsive in emails to foster trust.
This role requires a skilled and motivated individual who can excel in a dynamic environment, working collaboratively with stakeholders to deliver exceptional results.
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