Highly Motivated Provider Credentialing Specialist Wanted

1 week ago

Thiruvananthapuram, Kerala, India beBeeCredentialing Full time ₹ 7,50,000 - ₹ 10,00,000
Job Description

We are seeking a highly motivated and detail-oriented professional to fill the role of Provider Credentialing Specialist. The ideal candidate will possess a strong background in provider enrollment and a comprehensive understanding of the credentialing process.

This role is crucial for ensuring the timely and accurate submission of provider applications, facilitating smooth onboarding, and maintaining compliance with all relevant regulations.

  • Key Responsibilities:
  • Provider Enrollment & Application Management: Demonstrated expertise in the end-to-end provider enrollment process.
  • Demonstrated proficiency in accurately completing a high volume of provider applications across various specialties and payer types.
  • Ensuring timely and efficient submission of all completed applications to relevant entities.
  • Tracking application statuses and proactively following up on outstanding items to expedite approval.
Required Skills and Qualifications
  • Education:
  • Bachelor's Degree (Preferred) 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 (e.g., 2-3 years in provider enrollment or credentialing) 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 (e.g., Medicaid, Medicare).
  • Familiarity with state-specific regulations and payer requirements, maintaining integrity in compliance.
Benefits

This role demands a detail-oriented professional with a strong ethical foundation, technical proficiency, and a drive for performance excellence in credentialing.

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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