
Expert Healthcare Provider Credentialer
7 days ago
As a skilled Credentialing Specialist, you will be responsible for handling credentialing needs for our clients, ensuring timely and accurate processing of provider information. This role requires excellent communication and problem-solving skills to effectively collaborate with providers, payers, and internal teams.
Key Responsibilities:
- Collect and verify provider documentation, including licenses, certifications, and facility privileges.
- Assist providers with completing payer forms and ensure compliance with regulatory requirements.
- Respond promptly to provider inquiries regarding the credentialing process.
- Monitor and report on new regulations, expiring certificates, reapplications, and deficiencies in credentialing requirements.
- Maintain accurate and up-to-date client information using an online database.
Requirements and Qualifications:
- A minimum of 2 years of experience in US-based credentialing processes.
- Familiarity with the US medical insurance industry.
- Excellent listening, communication, and problem-solving skills.
- Self-motivation and ability to work independently.
- Professional credentialing certification is required.
Preferred Qualities:
- Comfortable working in Eastern Time Zone/US Shift.
- Good internet access at home or remote location.
- Availability of mobile hotspot.
- Laptop/Desktop with a minimum of 8 GB RAM.
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