Healthcare Specialist

19 hours ago

Alleppey, Kerala, India beBeeCredentialing Full time ₹ 9,00,000 - ₹ 12,00,000

We are seeking a highly motivated individual to fill the role of Provider Credentialing Professional.

Key Responsibilities:

  • Provider Enrollment & Application Management:

    • Demonstrate expertise in the end-to-end provider enrollment process.
    • Accurately complete a high volume of provider applications across various specialties and payer types.
    • Ensure timely and efficient submission of all completed applications to relevant entities.
    • Track application statuses and proactively follow up on outstanding items to expedite approval.

  • Welcome Kit Generation & Contract Loading:

    • Create and disseminate comprehensive Welcome Kits for new providers, ensuring all necessary documentation and information is included.
    • Accurately and efficiently load provider contracts into the designated system, ensuring all terms and conditions are correctly captured.

  • Application Portal Expertise:

    • Experience creating and managing accounts within key healthcare application portals, including CAQH, Medicaid, Medicare (PECOS portal), and NPI.

  • Regional Credentialing Advantage:

    • Working with providers specifically in Florida may be considered a significant advantage, demonstrating familiarity with state-specific regulations and payer requirements.
Requirements:

  • Education:

    • Bachelor's Degree 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 may suffice for entry-level roles.

  • Experience:

    • Expertise in provider enrollment and credentialing processes, ensuring ethical and accurate completion and submission of applications across various specialties and payers.
    • Proficiency in managing accounts in CAQH, Medicaid, Medicare (PECOS), and NPI portals with a commitment to ethical standards in data handling.
    • Florida experience preferred: Familiarity with state-specific regulations and payer requirements, maintaining integrity in compliance.

  • Technical Skills:

    • High proficiency in Google Sheets and Google Docs, supporting a high-performance culture through efficient workflows.
    • Excellent typing skills (speed and accuracy) for precise data entry, contributing to operational excellence.
    • Strong knowledge of operating systems, software, and browsers to uphold professional performance standards.

  • Compliance & Ethics:

    • Strict adherence to HIPAA and federal/state credentialing guidelines, ensuring ethical conduct in all processes.
    • Maintain confidentiality of sensitive information with unwavering integrity.

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