Healthcare Credentialing & Provider Enrollment Specialist

Job not on LinkedIn

🔥 2 minutes ago

🇿🇦 South Africa – Remote

💵 R26.5k - R30k / month

⏰ Full Time

🟡 Mid-level

🟠 Senior

✨ Provider Enrollment Specialist

👻 Ghost score 20%

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📋 Description

• Manage provider credentialing and enrollment applications through US state portals, including GAMMIS and NCTracks. • Handle credentialing and certification requirements for BCBAs and RBTs. • Prepare, review, and submit provider documentation and applications. • Monitor application progress and follow up on pending, incomplete, or outstanding submissions. • Maintain accurate credentialing records, trackers, and provider documentation. • Ensure all credentialing requirements and supporting documents are completed accurately and within deadlines. • Identify missing documentation, application discrepancies, and potential delays. • Communicate updates regarding credentialing and enrollment progress to relevant stakeholders. • Maintain organized records and ensure compliance with applicable credentialing requirements. • Support provider credentialing and enrollment within the US healthcare sector for ABA therapy services.

🎯 Requirements

• Previous experience in healthcare credentialing, provider enrollment, or medical credentialing. • Experience working with online credentialing portals or healthcare provider registration systems. • Strong administrative, organizational, and documentation management skills. • Excellent attention to detail and accuracy. • Ability to manage multiple applications and deadlines simultaneously. • Strong follow-through and the ability to independently manage assigned tasks. • Good written and verbal communication skills. • Previous experience within the US healthcare or ABA therapy industry (advantageous). • Familiarity with GAMMIS and NCTracks state portals (advantageous). • Experience credentialing or enrolling BCBAs and RBTs (advantageous). • Understanding of US healthcare provider enrollment processes and certification requirements (advantageous).

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