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    • Senior Credentialing Coordinator - Saint Thomas Mount - beBeeCredentialing

    beBeeCredentialing
    beBeeCredentialing Saint Thomas Mount

    3 weeks ago

    Job title: Senior Credentialing Specialist

    Description

    Job Description

    We are seeking an experienced provider credentialing specialist to join our team. The ideal candidate will have a strong background in end-to-end provider enrollments, insurance credentialing, provider contracting, and recredentialing.

    This role is perfect for professionals who thrive in a remote work environment and are committed to maintaining clear communication with our credentialing team and clients.

    The successful candidate will be responsible for managing the full spectrum of provider credentialing and enrollment, including filing letters of interest and completing enrollment applications for all states.

    They will engage with payers via calls and emails to ensure successful processing of both individual and group applications.

    The candidate will also demonstrate expertise in submitting required documentation for private commercial payors, Medicare, Medicaid, Medicaid MCO, and Medicare supplement/replacement plans.

    They will maintain regular communication with clients, providing updates and ensuring the active status of providers with payers.

    Additionally, the candidate will handle end-to-end processes for creating and maintaining provider details on platforms such as CAQH, PECOS, Availity, Navinet, NPPES, and other provider portals.

    They will also manage the application and renewal process for all provider licenses, including professional, DEA, and controlled substance licenses.

    Finally, the candidate will ensure continuous updating and maintenance of client and application data, readily available for client requests.

    Required Skills and Qualifications

    • A minimum of 5 years of experience in provider credentialing and enrollment.
    • Strong organizational skills and the ability to work independently in a remote setting.
    • Proficiency in using credentialing portals and managing associated documentation.
    • Exceptional communication skills to effectively engage with both clients and payers.

    Benefits

    • Competitive salary based on experience and skills.
    • Full-time, permanent work-from-home position.
    • Quiet home office with no distractions.
    • Dedicated fast internet (100MBPS) with fiber or cable connection.

    Others

    Have at least 3 years of experience working from home successfully during EST hours.

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