Healthcare Credentialing Specialist

9 hours ago


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

A credentialing specialist plays a vital role in upholding the standards of a healthcare organization.

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  • Maintains current and accurate data for all providers.
  • Updates corporate provider contract files as needed.
  • Remains informed about health plans and agency requirements for credentialing providers.
  • Ensures timely renewals by tracking licenses, certifications, and malpractice expirations for all providers.
  • Processes applications for appointment and reappointment of privileges to physicians.
  • Manages provider information in online credentialing databases and systems.
  • Verifies practice addresses are current with health plans, agencies, and other entities.
  • Audits health plan directories for current and accurate provider information.
  • Provides support for credentialing-related issues and insurance contracts.
  • Performs other duties as assigned.
Requirements
  • 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.

This position offers a challenging opportunity to work in a dynamic environment and contribute to the success of the organization.



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