Credentialing Specialist_Maryland HealthCare Providers
4 days ago
Company Description
Job Title:
Credentialing Specialist Maryland Healthcare Providers
Company:
Elevate Calls Inc.
Location:
Remote (Permanent Work From Home Position)
Position Overview
Elevate Calls Inc. is seeking a
Credentialing Specialist
with experience in
Maryland healthcare credentialing
to join our growing remote team. In this role, you will oversee the credentialing and enrollment processes for healthcare providers practicing in Maryland. Your work will be essential in ensuring compliance with state and federal regulations, as well as specific payer requirements.
Key Responsibilities
- Manage 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
). - Maintain and update provider data in credentialing systems such as
CAQH
,
NPPES
, and internal databases. - Track and monitor expirable items such as licenses, certifications, and recredentialing deadlines.
- Communicate professionally 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. - Conduct background checks, verify credentials, and maintain
accurate, complete provider profiles
.
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 (e.g.,
CareFirst
,
Maryland Physicians Care
). - 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 the 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.
How to Apply
If you are a motivated credentialing professional with experience in
Maryland healthcare
, wed love to hear from you. Please send your resume to
with the subject line:
Credentialing Specialist Maryland
- We look forward to reviewing your application
-
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