Credentialing Operations Coordinator

1 week ago


Lahore, Punjab, Pakistan beBee Careers Full time

We are seeking an experienced Credentials Specialist to join our team in the medical billing sector.

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.
  8. Accurately enter data into credentialing and billing systems.
Requirements:
  • A high school diploma or equivalent is required; an associate's or bachelor's degree is preferred.
  • Two years of experience in credentialing, medical billing, or a related field is required.
  • Certified Provider Credentialing Specialist (CPCS) or Certified Credentialing Specialist (CCS) certification is preferred.
  • Strong analytical, organizational, and communication skills are necessary.
  • The ability to work in a fast-paced environment and meet deadlines is essential.
  • Proficiency in Microsoft Office and credentialing software systems is required.
About this role

This is an entry-level, full-time position within the healthcare industry, specifically in outsourcing and consulting services.



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