Credentialing Analyst - Provider Enrollment Specialist

2 days ago

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Logo of ClinicMind Platform for Full-Cycle Patient Care

ClinicMind Platform for Full-Cycle Patient Care

EHR • Credentialing • Billing • Practice Management • Patient Portal

201 - 500

Description

• Manage the credentialing needs of our clients: 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 • Keep client providers and coaches informed about the status of their credentialing • Maintain accurate and current client information • Alert clients about new regulations, expiring certificates, reapplications, and deficiencies in credentialing requirements • Medicare and Medicaid Enrollment experience is a must. • Drive the implementation of the automated credentialing workflow management system: Prototype • Provide requirements to software developers • Test the implementation

Requirements

• Minimum 2-3 years of experience in US-based Credentialing process • Familiar with the US medical insurance industry • Excellent listening, communication, and problem-solving skills • Self-motivated and able to work autonomously • High comfort level working on Eastern Time Zone/US Shift - Must be available for practice meetings to discuss progress during East Coast Business Hours • Good internet access at home • Mobile Hotspot • Laptop/Desktop of at least 8 GB

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