Provider Credentialing & Enrollment Expert

Omega Healthcare Management Services Pvt. Ltd.; Boca Raton (FL); On-site; USD 55,000 - 75,000; Full time

Job summary

Omega Healthcare Management Services seeks a Credentialing Specialist to review and resolve enrollment tasks, generate enrollment data for the Credentialing Team, and monitor provider enrollment status. The role emphasizes effective communication with specialists and timely resolution of discrepancies while upholding HIPAA and security requirements.

The candidate should have 3–5 years of experience in insurance follow up and credentialing, with an Associate’s degree or equivalent; healthcare

Qualifications

• Minimum of 3-5 years prior experience in insurance follow up and/or credentialing and enrollment.
• Proven experience in customer service or call center roles, preferably within healthcare.
• Associate’s degree or equivalent; additional healthcare business education preferred.

Responsibilities

• Effectively reviews and resolves credentialing/enrollment and contracting tasks.
• Provides data for Credentialing Team in reports and claims for provider enrollment.
• Monitors credentialing status and communicates with Credentialing Specialists.
• Ensures confidentiality of patient and company information per HIPAA and compliance standards.

Skills

Credentialing

Insurance Claims

Communication

Education

Associate’s degree

Job description

Omega Healthcare Management Services seeks a Credentialing Specialist to review and resolve enrollment tasks, generate enrollment data for the Credentialing Team, and monitor provider enrollment status. The role emphasizes effective communication with specialists and timely resolution of discrepancies while upholding HIPAA and security requirements.

The candidate should have 3–5 years of experience in insurance follow up and credentialing, with an Associate’s degree or equivalent; healthcare