Healthcare Licensing and Credentialing (Remote)

1 month, 1 week ago
Full-time
Junior
Operations
Global Finance Teams

Global Finance Teams

Global Finance Teams offers affordable accounting services in San Francisco and partners with businesses to establish finance teams in the Philippines, providing accounting outsourcing services and financial modeling expertise.

Diversified Financial Services
1-10
Founded 2019

Description

  • Collect and verify provider documents, including licenses, education, certifications, and malpractice records.
  • Process credentialing and re-credentialing applications with Medicare, Medicaid, and commercial payers.
  • Maintain accurate provider files, databases, and credentialing systems such as CAQH, NPPES, and PECOS.
  • Track credential expirations and ensure timely renewals and updates.
  • Communicate application status, missing requirements, and next steps to providers and internal teams.
  • Ensure compliance with HIPAA, NCQA, Joint Commission, and other applicable regulations.
  • Support timely credentialing and re-credentialing workflows for providers.

Requirements

  • 2+ years of experience in Behavioral Health credentialing.
  • Experience in healthcare credentialing or provider enrollment is preferred.
  • Experience working in the Modio credentialing database.
  • Knowledge of CAQH, PECOS, and payer requirements is an advantage.
  • Strong attention to detail, organization, and communication skills.
  • Proficiency with Microsoft Office and credentialing systems.
  • Willingness to work US hours, Monday through Friday.

Benefits

  • Dozens of marketing analysis set-ups to observe and learn from.
  • Opportunity to learn how marketing strategies are built, what matters, and why.
  • Opportunity to solve real customer problems on an everyday basis.

Interested in this position?

Apply directly on the company website

Apply Now

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