
Healthcare Credentialing Professional
1 day ago
We are seeking a highly skilled and experienced Healthcare Credentialing Professional to join our remote team.
About the Role:This is an exciting opportunity for a motivated and organized individual to lead credentialing efforts for Maryland-based healthcare providers.
Key Responsibilities:- Manage credentialing and recredentialing processes, ensuring compliance with state regulations, insurance guidelines, and national accreditation standards.
- Verify provider credentials, maintain accurate profiles, and conduct thorough background checks.
- Communicate effectively with insurance companies, government agencies, and internal departments to resolve credentialing-related issues.
- Stay up-to-date with Maryland payer requirements, credentialing laws, and healthcare regulations.
The ideal candidate will possess prior experience in healthcare credentialing or provider enrollment, preferably with Maryland-based providers. Proficiency with credentialing platforms such as CAQH, PECOS, and NPPES is essential. Familiarity with the EPREP Portal, including provider registration and compliance functions, is also desirable.
Required Skills and Qualifications:- Strong knowledge of Maryland state regulations and national accreditation standards.
- Excellent communication and organizational skills.
- Ability to work independently and manage multiple priorities.
- Proficient in credentialing software and systems.
This role offers a unique opportunity to work remotely and make a meaningful contribution to our team's success. We offer a competitive compensation package and opportunities for professional growth and development.
How to Apply:If you are a motivated and organized individual with a passion for healthcare credentialing, please submit your application. We look forward to reviewing your qualifications and discussing this exciting opportunity further.
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