Credentialing Specialist

Handle credentialing needs for our clients (Group and/or Individual) who are US-based health care providers and medical facilities as preferred providers in health care networks.

Job Responsibilities:
• Perform credentialing work:
• Collect all the required documentation for credentialing such as accreditation, membership and facility privileges (e.g., License, NPI letter).
• Assist providers with completing payer forms and ensure compliance with payer’s expectations
• Respond to provider’s inquiries as to credentialing process progress
• Alert client of new regulations, expiring certificates, reapplications and deficiencies in credentialing requirements
• Maintain accurate and current client information using an online database
• Drive the implementation of the automated credentialing workflow management system:
• Provide requirements to software developers
• Review implementation
Qualifications:
o Minimum of 2 years’ experience in US-based Credentialing process
o Familiar with US medical insurance industry
o Excellent listening, communication, and problem-solving skills
o Self-motivated and able to work autonomously

For interested candidates, please make sure to attach a link of your resume. Please attach a link to your introductory video,