Healthcare Professional Credentialing Coordinator

1 day ago

Lahore, Punjab, Pakistan beBeeCredentialing Full time $500 - $600

DCC Consultants provides offshore corporate services to its partner healthcare organizations in the United States. We support the mission, core values, and customer service standards of our clients.

Job Description

The Healthcare Professional Credentialing Coordinator supports the credentialing responsibilities for ensuring providers are credentialed with health plans and hospitals PHO's. They maintain up-to-date data for each provider in credentialing databases and online systems.

Key Responsibilities:

  • Maintain current and accurate data for all providers.
  • Maintain corporate provider contract files.
  • Stay updated on current health plans and agency requirements for credentialing providers.
  • Maintain copies of current state licenses, DEA certificates, malpractice coverage, and other required credentialing documents for all providers.
  • Track licenses, certifications, and malpractice expirations for all providers to ensure timely renewals.
  • Process applications for appointment and reappointment of privileges to physicians.
  • Set up and maintain provider information in online credentialing databases and systems.
  • Ensure practice addresses are current with health plans, agencies, and other entities.
  • Audit health plan directories for current and accurate provider information.
  • Cross-train on other related tasks as needed.
  • Act as the point of contact for questions and issues relating to credentialing and insurance contracts.
  • Resolve issues related to credentialing, including insurance contracts, hospital applications, and other necessary information.
Requirements

Education and Experience:

  • 5 years of experience in credentialing for a physician practice or healthcare sector.
  • Bachelor's Degree in Business or a related field.

Required Skills:

  • Proficiency in PC and ability to thrive in a fast-paced setting; experience with Microsoft Office Suite is a plus.
  • 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:

Annual Bonus, Eid Bonuses, Provident Fund, Health Insurance (IPD, OPD), Fuel Card or Company Pick & Drop, EOBI, Free Meal

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