Medical Staff Coordinator

1 day ago


Karachi, Sindh, Pakistan Mayatax Full time

Role Description

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The Credentialing Specialist at Maya & Associates will oversee the entire credentialing process, from initial application to final approval. This includes managing the payor enrollment process, collecting and verifying required documentation, and maintaining accurate records.

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Main Responsibilities

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  1. Ensure accurate and timely completion of initial credentialing and re-credentialing processes for healthcare providers.
  2. Develop and implement efficient systems for managing payor enrollment applications, including tracking and follow-up.
  3. Audit reports to ensure compliance with organizational policies and regulatory standards.
  4. Collaborate with internal teams such as HR, legal, and clinical staff to streamline credentialing processes.
  5. Serve as the primary point of contact for providers regarding credentialing and enrollment-related inquiries.
  6. Resolve any discrepancies or disputes related to credentialing and payor enrollment.

Requirements

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  1. 3-5 years of experience in credentialing, specifically with commercial and Medicaid processes.
  2. Bachelor's degree in Healthcare Administration or a related field is a plus.
  3. Previous experience in hospital credentialing or behavioral healthcare is a plus.
  4. Proficient in MS Office, particularly Excel.
  5. Knowledge of Medicare regulations.
  6. Ability to multitask and manage multiple projects simultaneously.
  7. Effective communication skills for internal and external interactions.
  8. Fluency in English.
  9. Punctual and detail-oriented.
  10. Willingness to work onsite in Karachi as per CST hours.


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