
Medical Staff Coordinator
1 day ago
Role Description
">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.
">Main Responsibilities
">- Ensure accurate and timely completion of initial credentialing and re-credentialing processes for healthcare providers.
- Develop and implement efficient systems for managing payor enrollment applications, including tracking and follow-up.
- Audit reports to ensure compliance with organizational policies and regulatory standards.
- Collaborate with internal teams such as HR, legal, and clinical staff to streamline credentialing processes.
- Serve as the primary point of contact for providers regarding credentialing and enrollment-related inquiries.
- Resolve any discrepancies or disputes related to credentialing and payor enrollment.
Requirements
">- 3-5 years of experience in credentialing, specifically with commercial and Medicaid processes.
- Bachelor's degree in Healthcare Administration or a related field is a plus.
- Previous experience in hospital credentialing or behavioral healthcare is a plus.
- Proficient in MS Office, particularly Excel.
- Knowledge of Medicare regulations.
- Ability to multitask and manage multiple projects simultaneously.
- Effective communication skills for internal and external interactions.
- Fluency in English.
- Punctual and detail-oriented.
- Willingness to work onsite in Karachi as per CST hours.
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