Healthcare Administrator Role

4 days ago

Jaipur, Rajasthan, India beBeeCredentialing Full time ₹ 8,00,000 - ₹ 10,00,000
Job Summary

The Provider Credentialing Specialist plays a pivotal role in ensuring seamless provider onboarding, timely and accurate application submissions, and adherence to all relevant regulatory standards.

Key Responsibilities
  • Provider Enrollment & Application Management:
  • Demonstrate expertise in the end-to-end provider enrollment process, with proficiency in accurately completing high volumes of provider applications across various specialties and payer types.
  • Ensure timely submission of completed applications to relevant entities, while tracking statuses and proactively following up on outstanding items to expedite approval.
  • Welcome Kit Generation & Contract Loading:
  • Responsible for creating comprehensive Welcome Kits for new providers, including all necessary documentation and information.
  • Accurately load provider contracts into designated systems, ensuring all terms and conditions are correctly captured.
  • Application Portal Expertise:
  • Extensive experience in managing accounts within key healthcare application portals, including CAQH, Medicaid, Medicare (PECOS portal), and NPI.
Requirements
  • Education:
  • A bachelor's degree in a relevant field such as Healthcare Administration, Health Information Management (HIM), Business Administration, or Public Health.
  • Associate's degree combined with relevant work experience may be sufficient for entry-level roles.
  • Experience:
  • Expertise in provider enrollment and credentialing processes, ensuring ethical 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 data handling.
  • Familiarity with state-specific regulations and payer requirements, maintaining integrity in compliance.

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