Job Title: Healthcare Administrator
Location: South Africa
Job Type: Full-Time, Remote
Working Hours: US Hours (9am-5pm EST)
Salary: South African Rand (ZAR)
This role is responsible for verifying provider qualifications, coordinating insurance network enrolments, maintaining credentialing records, and ensuring providers meet all regulatory and payer requirements before delivering patient care.
The ideal candidate will have strong administrative, organizational, and communication skills, with experience in healthcare compliance, provider onboarding, or medical administration.
Key Responsibilities
- Perform primary source verification of healthcare provider licenses, medical degrees, certifications, training, and professional credentials.
- Verify provider eligibility with licensing boards, regulatory authorities, and credentialing organizations.
- Ensure all 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 enrolment applications to private medical insurance networks and government healthcare programs.
- Manage provider identification numbers and government health registry listings.
- Track enrolment applications from submission through approval and resolve any outstanding requirements.
- Work proactively to prevent enrolment delays that may impact provider billing or reimbursement.
- Maintain accurate and confidential electronic and physical provider credentialing files.
- Ensure all provider records remain current and compliant with internal policies and external regulatory standards.
- Conduct regular audits of provider files to ensure completeness and accuracy.
- Maintain documentation in accordance with healthcare privacy and compliance regulations.
- Guide healthcare providers through the credentialing and onboarding process, ensuring all required documentation is submitted.
- Serve as the primary point of contact between healthcare providers, medical licensing boards, insurance companies, and credentialing organizations.
- Respond to credentialing and enrolment queries in a professional and timely manner. Provide regular progress updates to hospital leadership, human resources, and other 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 (Word, Excel, Outlook).
Benefits
- Comfortable working U.S. hours
- Remote work from home
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