
Certified Provider Specialist
4 days ago
The role of a Provider Credentialing Specialist is pivotal in ensuring timely and accurate provider applications, facilitating seamless onboarding, and maintaining compliance with all relevant regulations.
This position demands a detail-oriented professional with a strong ethical foundation, technical proficiency, and a drive for performance excellence in credentialing.
Key Responsibilities:
- Provider Enrollment & Application Management
- Demonstrated expertise in the end-to-end provider enrollment process
- 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
Required Skills and Qualifications:
- Bachelor's Degree (Preferred) in Healthcare Administration, Health Information Management, Business Administration, or Public Health
- An associate's degree combined with relevant work experience may suffice for entry-level roles
- Expertise in provider enrollment and credentialing processes, ensuring ethical and accurate completion and submission of applications across various specialties and payers
Essential Competencies:
- Communication: Clear, professional, and ethical verbal and written communication; highly responsive
- Organization: Track application statuses and ensure timely submissions with diligence
- Independence & Teamwork: Work autonomously with ethical initiative and collaborate effectively
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