
Provider Credentialing Specialist
11 hours ago
We are seeking a detail-oriented and highly motivated provider credentialing specialist to excel in our team. The ideal candidate will possess a strong background in provider enrollment and comprehensive understanding of the credentialing process.
- Enrollment & Application Management:
- Demonstrate expertise in the end-to-end provider enrollment process, ensuring timely submission of all completed applications to relevant entities.
- Proficiency in accurately completing high volumes of provider applications across various specialties and payer types.
- Welcome Kit Generation & Contract Loading:
- Responsible for creating and disseminating comprehensive Welcome Kits for new providers, ensuring all necessary documentation is included.
- Accurately load provider contracts into designated systems, capturing all terms and conditions correctly.
- Application Portal Expertise:
- Extensive experience in managing accounts within key healthcare application portals, including CAQH, Medicaid, Medicare (PECOS portal), and NPI.
- Bachelor's degree in Healthcare Administration, Health Information Management, Business Administration, or Public Health (Preferred).
- Associate's degree combined with 2-3 years of relevant work experience may suffice for entry-level roles.
- Expertise in provider enrollment and credentialing processes, ensuring ethical completion and submission of applications.
- Proficiency in managing accounts in CAQH, Medicaid, Medicare (PECOS), and NPI portals with commitment to ethical standards in data handling.
- Familiarity with state-specific regulations and payer requirements, maintaining integrity in compliance.
- Excellent communication and interpersonal skills.
- Ability to work independently and as part of a team.
- Proficiency in Google Sheets and Docs.
- Comprehensive knowledge of computer usage and navigation.
Benefits of this role:
- Opportunity to develop your career in a dynamic environment.
- Collaborative team culture.
- Professional growth opportunities.
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