Healthcare Professional Credentialing Manager

4 hours ago


Nellore, Andhra Pradesh, India beBeeCredentialing Full time ₹ 8,00,000 - ₹ 12,00,000
Healthcare Credentialing Specialist

This role plays a vital part in the efficient processing of healthcare professional applications, ensuring compliance with all relevant regulations.

Key Responsibilities:
  • Provider Enrollment & Application Management:
  • Demonstrate expertise in the entire provider enrollment process.
  • Accurately complete a high volume of provider applications across various specialties and payer types.
  • Submit completed applications to relevant entities in a timely manner.
  • Track application statuses and proactively follow up on outstanding items to expedite approval.
  • Welcome Kit Generation & Contract Loading:
  • Responsible for creating comprehensive Welcome Kits for new providers, ensuring all necessary documentation and information is included.
  • Load 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, including CAQH, Medicaid, Medicare (PECOS portal), and NPI portals.
  • Establish and maintain provider profiles for efficient data sharing and navigate state-specific Medicaid enrollment processes.
Requirements:
  • Education: Bachelor's Degree in Healthcare Administration, Health Information Management (HIM), Business Administration, or Public Health.
  • Experience: Proven expertise in healthcare credentialing processes, ensuring accurate completion and submission of applications.
  • Technical Skills: Proficiency in Google Sheets and Docs, strong typing skills, and knowledge of operating systems and software.


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