Credentialing Specialist

6 days ago

Manila, National Capital Region, Philippines beBeeCredentialing Full time $40,000 - $45,000
Credentialing Professional - Maryland Healthcare

Join a dynamic remote team as a Credentialing Specialist with experience in Maryland healthcare credentialing. In this role, you will oversee the credentialing and enrollment processes for healthcare providers practicing in Maryland. Your work will be crucial in ensuring compliance with state and federal regulations, as well as specific payer requirements.

Job Description

Elevate your career by managing the credentialing and recredentialing processes for Maryland-based healthcare providers, including physicians, nurse practitioners, and allied health professionals. Ensure all provider files comply with Maryland state regulations, insurance guidelines, and national accreditation standards. Complete and submit credentialing applications and enrollment forms to commercial payers, Medicaid, and Medicare (via PECOS).

  • Manage the credentialing process from start to finish, including verification of licenses, certifications, and credentials.
  • Ensure accurate and up-to-date provider data in credentialing systems such as CAQH, NPPES, and internal databases.
  • Track and monitor expirable items such as licenses, certifications, and recredentialing deadlines.
Required Skills and Qualifications
  • Prior experience in healthcare credentialing or provider enrollment, preferably with Maryland-based providers.
  • Familiarity with Maryland-specific credentialing standards, including Maryland Medicaid and regional payers.
  • Proficiency with credentialing platforms such as CAQH, PECOS, and NPPES.
  • Familiarity with the EPREP Portal (Maryland Emergency Preparedness and Response Portal), including provider registration and compliance functions.
  • Exceptional attention to detail and ability to manage multiple deadlines effectively.
  • Strong written and verbal communication skills; professional in interactions with both internal and external stakeholders.
  • Self-motivated and reliable in a fully remote work environment.
  • Demonstrated commitment to confidentiality and compliance with healthcare regulations.
Benefits

This is an exciting opportunity to join a dynamic team and make a real difference in the lives of patients and healthcare providers. As a Credentialing Specialist, you will have the chance to grow your career, develop new skills, and contribute to the success of our organization.

Others

If you are a motivated and experienced Credentialing Specialist looking for a new challenge, please submit your application for consideration.

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