Healthcare Provider Credentialing Associate

1 week ago


Lahore, Punjab, Pakistan beBee Careers Full time
Job Title: Healthcare Provider Credentialing Specialist

We are seeking an experienced professional to ensure that all healthcare providers are properly credentialed and enrolled with payers, in accordance with regulatory requirements.

Key Responsibilities:
  1. Verify provider credentials, including education, training, licensure, and certification.
  2. Enroll providers with payers, including Medicare, Medicaid, and commercial insurance companies.
  3. Prepare and submit credentialing and enrollment applications to payers.
  4. Follow up with payers to resolve any issues or discrepancies related to credentialing and enrollment.
  5. Maintain accurate and up-to-date records of provider credentials and enrollment status.
  6. Ensure compliance with regulatory requirements, including HIPAA, OIG, and state-specific laws.
  7. Communicate with providers, payers, and internal stakeholders to resolve credentialing and enrollment issues.
Requirements:
  1. Education: High school diploma or equivalent required; associate's or bachelor's degree preferred.
  2. Experience: 2+ years of experience in credentialing, medical billing, or a related field.
  3. Certifications: Certified Provider Credentialing Specialist (CPCS) or Certified Credentialing Specialist (CCS) certification preferred.
  4. Skills: Strong analytical, organizational, and communication skills. Ability to work in a fast-paced environment and meet deadlines.
  5. Software: Proficient in Microsoft Office and credentialing software systems.

This role requires a motivated and detail-oriented individual with a passion for credentialing and medical billing. If you have the necessary skills and qualifications, please submit your application, including your resume and cover letter.



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