
Senior Provider Enroller
17 hours ago
The Senior Credentialing Specialist plays a pivotal role in ensuring the seamless credentialing of providers with health plans and hospitals. This specialist oversees the entire credentialing process, from data compilation to online system maintenance.
Key responsibilities include:
- Maintaining current and accurate data for all providers
- Compiling corporate provider contract files
- Staying updated on current health plans and agency requirements
- Tracking licenses, certifications, and malpractice expirations
- Processing applications for appointment and reappointment of privileges
- Setting up and maintaining provider information in online databases and systems
- Auditing health plan directories for current and accurate provider information
Requirements
To excel in this role, candidates should possess:
- 5 years of experience in credentialing for a physician practice or healthcare sector
- Bachelor's Degree in Business or a related field
Required Skills
Successful candidates will have:
- Proficiency in PC and ability to thrive in a fast-paced setting
- Good presentation and communication skills
- Productivity and resourcefulness with the ability to meet deadlines
- Experience with Availity, CAQH, Optum, MultiPlan, and other credentialing databases
Benefits
This role offers a competitive compensation package, including:
- Annual Bonus
- Eid Bonuses
- Provident Fund
- Health Insurance (IPD, OPD)
- Fuel Card or Company Pick & Drop
- EOBI
- Free Meal
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