Healthcare Credentialing & Provider Enrollment Specialist

atReWorks SolutionsRemoteZA flagSouth AfricaFull-timeUncategorizedMid-levelSeniorR26.5k – R30k/month

Posted 5 days ago

This is a fully remote position, open to applicants in South Africa.

πŸ“‹ Description

β€’ Oversee the credentialing and enrollment applications for providers via US state portals, including GAMMIS and NCTracks.

β€’ Manage the credentialing and certification prerequisites for BCBAs and RBTs.

β€’ Prepare, review, and submit all necessary provider documentation and applications.

β€’ Track the progress of applications and follow up on any pending, incomplete, or outstanding submissions.

β€’ Keep precise records of credentialing, trackers, and provider documentation.

β€’ Ensure that all credentialing requirements and accompanying documents are filled out correctly and submitted on time.

β€’ Identify any missing documentation, discrepancies in applications, and potential delays.

β€’ Provide updates on credentialing and enrollment progress to appropriate stakeholders.

β€’ Maintain well-organized records and ensure adherence to relevant credentialing standards.

β€’ Assist with provider credentialing and enrollment in the US healthcare sector for ABA therapy services.


⛳️ Requirements

β€’ Prior experience in healthcare credentialing, provider enrollment, or medical credentialing.

β€’ Familiarity with online credentialing portals or healthcare provider registration systems.

β€’ Strong administrative, organizational, and document management abilities.

β€’ Exceptional attention to detail and precision.

β€’ Capability to manage multiple applications and deadlines concurrently.

β€’ Strong follow-through skills and the ability to independently handle assigned tasks.

β€’ Proficient written and verbal communication skills.

β€’ Experience in the US healthcare or ABA therapy sector (preferable).

β€’ Knowledge of GAMMIS and NCTracks state portals (preferable).

β€’ Experience in credentialing or enrolling BCBAs and RBTs (preferable).

β€’ Understanding of US healthcare provider enrollment processes and certification requirements (preferable).


🏝️ Benefits

β€’ Competitive salary and performance-based incentives.

β€’ Comprehensive health and wellness benefits.

β€’ Opportunities for professional development and continuing education.

β€’ Supportive work environment and team culture.

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