DayaMed Hiring for Credentialing Specialist at Remote Full Time

Job Description: Healthcare Credentialing Specialist (Telehealth Company – Remote Position)

Position Overview:

As a Healthcare Credentialing Specialist in our telehealth company, you will play a crucial role in ensuring the compliance and integrity of our healthcare provider network. This remote position allows you to work from home while collaborating with various departments and external entities to facilitate the credentialing and enrollment process for our telehealth providers. Your attention to detail and expertise in healthcare credentialing will be essential in maintaining high-quality standards and building a reliable network of qualified healthcare professionals.

Responsibilities:

Provider Credentialing: Facilitate the credentialing and enrollment process for telehealth providers, including physicians, nurse practitioners, and other healthcare professionals, with various insurance plans and regulatory bodies.

Application Management: Review and analyze provider applications, ensuring all required documentation is accurate, complete, and in compliance with organizational and regulatory requirements.

Verification of Credentials: Verify provider credentials, licensure, certifications, malpractice history, and work history through primary sources and credentialing databases.

Maintain Provider Database: Keep accurate and up-to-date records of provider information in the credentialing database, ensuring data integrity and confidentiality.

Collaboration with Providers: Communicate with providers to obtain missing or updated credentialing information and address any inquiries related to the credentialing process.

Contract Negotiation: Collaborate with providers and contracting teams to negotiate favorable terms for provider agreements and reimbursement rates.

Compliance and Accreditation: Ensure compliance with relevant regulatory and accreditation standards related to provider credentialing and enrollment.

Network Enrollment: Coordinate the enrollment of providers into telehealth networks and maintain ongoing relationships with contracted providers.

Provider Re-credentialing: Manage the re-credentialing process for providers to ensure ongoing compliance and participation in telehealth services.

Provider Onboarding: Facilitate the onboarding process for newly credentialed providers, including orientation and training on telehealth policies and procedures.

Qualifications:

• Bachelor’s degree in healthcare administration, business administration, or a related field.
• 5 years of experience in healthcare credentialing and enrollment, preferably in a telehealth or virtual care setting.
• Knowledge of credentialing processes, regulatory requirements, and industry standards related to healthcare provider enrollment.
• Familiarity with credentialing databases and relevant software tools for verification and data management.
• Excellent attention to detail and ability to manage multiple tasks simultaneously in a remote work environment.
• Strong communication and interpersonal skills to effectively interact with providers and other internal and external stakeholders.
• Understanding of healthcare reimbursement practices and contract negotiation is advantageous.
• Knowledge of telehealth policies, regulations, and reimbursement models is a plus.
• Demonstrated ability to work independently, meet deadlines, and maintain confidentiality of sensitive information.

Work Environment:

This position is a remote work-from-home opportunity, providing flexibility and convenience for the Healthcare Credentialing Specialist. As a remote employee, you will need a suitable home office setup with a reliable internet connection to effectively carry out your duties and communicate with team members and providers.

Job Types: Full-time, Part-time

Pay: From $20.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Education:

• High school or equivalent (Preferred)

Experience:

• Microsoft Office: 1 year (Preferred)
• Microsoft Word: 1 year (Preferred)

Work Location: Remote