Healthcare Administrator

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ReWorks Solutions

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2024

🎯 Recruiter

🤝 B2B

Recruitment • B2B

ReWorks Solutions is a premium remote staffing company that provides rigorously vetted, native English-speaking offshore professionals from South Africa and the Philippines, managed end-to-end with white-glove onboarding, continuous coaching, performance monitoring, and HIPAA-compliant processes. They position themselves as a B2B partner for healthcare organizations and other businesses seeking client-facing and backend remote teams, promising cost savings, high retention, and compliance. ReWorks combines hands-on team management with AI-powered support to streamline hiring, scaling, and ongoing oversight of remote staff.

📋 Description

• Perform primary source verification of healthcare provider licenses, medical degrees, certifications, training, and professional credentials. • Verify provider eligibility with licensing boards, regulatory authorities, and credentialing organizations. • Ensure all credentialing documentation is complete, accurate, and compliant with regulatory and organizational requirements. • Monitor license, certification, and registration expiration dates and coordinate timely renewals. • Prepare, complete, and submit provider enrolment applications to private medical insurance networks and government healthcare programs. • Manage provider identification numbers and government health registry listings. • Track enrolment applications from submission through approval and resolve any outstanding requirements. • Work proactively to prevent enrolment delays that may impact provider billing or reimbursement. • Maintain accurate and confidential electronic and physical provider credentialing files. • Ensure all provider records remain current and compliant with internal policies and external regulatory standards. • Conduct regular audits of provider files to ensure completeness and accuracy. • Maintain documentation in accordance with healthcare privacy and compliance regulations. • Guide healthcare providers through the credentialing and onboarding process, ensuring all required documentation is submitted. • Serve as the primary point of contact between healthcare providers, medical licensing boards, insurance companies, and credentialing organizations. • Respond to credentialing and enrolment queries in a professional and timely manner. Provide regular progress updates to hospital leadership, human resources, and other internal stakeholders.

🎯 Requirements

• Previous experience in healthcare administration, provider credentialing, provider enrollment, medical staff services, or healthcare compliance. • Strong understanding of healthcare credentialing and provider onboarding processes. • Experience working with medical licensing boards, regulatory authorities, or insurance providers. • Excellent attention to detail and organizational skills. • Strong written and verbal communication skills. • Ability to manage multiple priorities while meeting deadlines. • Proficiency in Microsoft Office (Word, Excel, Outlook).

🏖️ Benefits

• Comfortable working U.S. hours • Remote work from home