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Provider Credentialing Professional (Application Specialist)

5 years

0 Lacs

Posted:5 days ago| Platform: Linkedin logo

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Work Mode

Remote

Job Type

Full Time

Job Description


Provider Credentialing Professional (Application Specialist)


Key Responsibilities


Provider Enrollment & Application Management

  • Complete and submit provider applications across various specialties and payers (Medicare, Medicaid, etc.)
  • Monitor application status and follow up

Welcome Kit & Contract Handling

  • Generate comprehensive Welcome Kits
  • Accurately load contracts into internal systems

Portal Expertise

  • CAQH, PECOS, NPI, and Medicaid portal management
  • Profile creation, submission, and maintenance

Communication & Compliance

  • Professional email handling
  • Strict adherence to HIPAA and organizational standards


Qualifications


  • 3–5 years of experience in provider credentialing
  • Familiarity with CAQH, PECOS, Medicaid, and NPI processes
  • Florida-specific credentialing

    experience is a

    plus

  • Bachelor’s degree preferred (Healthcare Admin, HIM, Public Health, or related)


Skills Required


✅ Strong written and verbal communication

✅ Proficient in Google Sheets, Docs (formulas, charts, pivot tables)

✅ Accurate typing and computer navigation

✅ Independent and team-oriented mindset

✅ Detail-oriented with ethical integrity


Location:

Shift:


great opportunity

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