
Provider Enrollment and Credentialing Manager
2 weeks ago
We are seeking an experienced Provider Credentialing Specialist to join our team. The ideal candidate will possess a strong background in provider enrollment and a comprehensive understanding of the credentialing process.
The successful candidate will be responsible for managing the end-to-end provider enrollment process, ensuring accurate and timely completion of applications across various specialties and payer types.
- Key Responsibilities:
- Demonstrated expertise in the end-to-end provider enrollment process, including proficiency in accurately completing a high volume of provider applications.
- Tracking application statuses and proactively following up on outstanding items to expedite approval.
- Welcome Kit Generation & Contract Loading: Responsible for creating and disseminating comprehensive Welcome Kits for new providers, ensuring all necessary documentation and information is included.
- Accurate and efficient loading of provider contracts into designated systems, ensuring all terms and conditions are correctly captured.
- Application Portal Expertise: Extensive experience in creating and managing accounts within key healthcare application portals.
Required Skills and Qualifications:
- Excellent Communication and Interpersonal Skills: Demonstrates exceptional ability to convey information clearly, concisely, and effectively.
- 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.
- Proficiency in Google Sheets and Docs: Highly skilled in utilizing Google Sheets for data organization, analysis, and visualization.
- Excellent Typing Skills: Possesses a high level of accuracy and speed in typing, significantly contributing to efficient data entry and document creation.
- Comprehensive Knowledge of Computer Usage and Navigation: Displays a thorough understanding of operating systems, common software applications, and internet browsers.
Basic Qualifications:
- Bachelor's Degree (Preferred) in a relevant major such as Healthcare Administration, Health Information Management (HIM), Business Administration, or Public Health.
- Experience: Expertise in provider enrollment and credentialing processes, ensuring ethical and accurate completion and submission of applications.
- Technical Skills: High proficiency in Google Sheets (formulas, pivot tables, charts) and Google Docs, supporting a high-performance culture through efficient workflows.
- Compliance & Ethics: Strict adherence to HIPAA and federal/state credentialing guidelines, ensuring ethical conduct in all processes.
Key Competencies:
- 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.
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