Credentialist

Job Title: Credentialist

Location: Remote (South Africa, US Hours 9am-5pm EST)

Job Type: Full-Time

Salary: Paid in South African Rand (ZAR)

Key Responsibilities

• Manage and coordinate the credentialing process for healthcare providers, ensuring the timely submission and approval of all required documentation.
• Verify professional credentials, licenses, certifications, and education records accurately.
• Maintain up-to-date provider credentialing files and databases.
• Communicate with healthcare providers, insurance companies, and relevant regulatory bodies to resolve credentialing issues.
• Track renewal deadlines and ensure all recredentialing processes are completed on time.
• Support compliance efforts by preparing documentation for audits and quality assurance.
• Collaborate with internal teams to facilitate smooth onboarding and credentialing of new providers.

Requirements

• Associate's degree or higher in healthcare administration or a related field preferred.
• Previous experience in credentialing or a related administrative role within healthcare.
• Strong knowledge of healthcare regulations, credentialing standards, and insurance requirements.
• Excellent organizational skills with strong attention to detail and ability to manage multiple tasks.
• Proficient in Microsoft Office, Google Workspace, and credentialing software.
• Effective verbal and written communication skills.
• Ability to work effectively in a remote environment with minimal supervision.

Benefits

1. Comfortable working U.S. hours
2. Remote work from home

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