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Professional Credentialing Expert
2 weeks ago
We are seeking a highly motivated and detail-oriented professional to join our team as a Credentialing Specialist. The ideal candidate will possess a strong background in provider enrollment and a comprehensive understanding of the credentialing process.
This role is crucial for ensuring timely and accurate submission of provider applications, facilitating smooth onboarding, and maintaining compliance with all relevant regulations
Responsibilities:- Provider Enrollment & Application Management:
- Demonstrated 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.
- Ensuring 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:
- Responsible for the 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.
- Excellent Communication and Interpersonal Skills: Demonstrates exceptional ability to convey information clearly, concisely, and effectively, both verbally and in writing.
- Ability to Work Independently and as Part of a Team: Exhibits a 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
- Excellent Typing Skills: Possesses a high level of accuracy and speed in typing, significantly contributing to efficient data entry, document creation, and overall productivity.
- Comprehensive Knowledge of Computer Usage and Navigation: Displays a thorough understanding of operating systems, common software applications, and internet browsers.
- 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.
- 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).
This role demands a detail-oriented professional with a strong ethical foundation, technical proficiency, and a drive for performance excellence in credentialing. Florida experience is a plus.
