Healthcare Administrator

1 week ago
Full-time
Mid Level
Operations
Reworks Solutions

Reworks Solutions

ReWorks Solutions provides rigorously vetted, native English-speaking remote professionals backed by white-glove management and proactive support.

Internet Software & Services

Description

  • Perform primary source verification of provider licenses, medical degrees, certifications, training, and professional credentials.
  • Verify provider eligibility with licensing boards, regulatory authorities, and credentialing organizations.
  • Ensure 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 enrollment applications to private medical insurance networks and government healthcare programs.
  • Manage provider identification numbers and government health registry listings.
  • Track enrollment applications from submission through approval and resolve outstanding requirements.
  • Prevent enrollment delays that may affect provider billing or reimbursement.
  • Maintain accurate and confidential electronic and physical provider credentialing files.
  • Conduct regular audits of provider files to ensure completeness and accuracy.
  • Guide healthcare providers through the credentialing and onboarding process and serve as the main point of contact for external and 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, including Word, Excel, and Outlook.
  • Experience with healthcare privacy and compliance regulations is preferred.
  • Experience coordinating with hospital leadership, human resources, or other internal stakeholders is preferred.

Benefits

  • Remote work from home.
  • Comfortable working U.S. hours (9am-5pm EST).
  • Compensation in South African Rand (ZAR).

Interested in this position?

Apply directly on the company website

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