Senior Provider Credentialing Specialist
Posted 2025-03-14About Asha Health
We're an early stage AI healthcare startup tackling a massive unaddressed problem: how to provide exceptional, high-touch care to patients in between physician visits.
We're backed by an exceptional team, including AI experts from Google, physician executives from major Michigan health systems, and some of the best Silicon Valley investors.
About the Role
We are seeking an experienced and knowledgeable Provider Enrollment & Credentialing Manager to join our team on a part-time, advisory basis.
In this role, you will be responsible for overseeing the credentialing, re-credentialing, and enrollment processes for our healthcare providers, ensuring compliance with insurance networks and healthcare practices.
As a manager, you?ll have a unique opportunity to collaborate with an innovative team of AI product leaders, physician executives, and clinical experts, gaining firsthand insight into the operations of a fast-growing AI healthcare startup.
Responsibilities
? Oversee and manage the end-to-end provider credentialing process, ensuring providers meet federal and state regulations, as well as payer and facility requirements.
? Lead the coordination, submission, tracking, and maintenance of credentialing documents for initial enrollment, re-enrollment, and re-credentialing processes.
? Stay informed of changes in credentialing requirements, payer enrollment, and regulatory updates, proactively implementing necessary adjustments to maintain provider compliance.
? Assist in developing and updating policies, procedures, and tools to enhance the efficiency and accuracy of credentialing processes.
Compensation
This is a part-time hourly contract position. We've provided a pay range. Exact hourly rate will vary based on experience.
Qualifications
? 3+ years of experience in provider credentialing & enrollment
? Experience managing a billing team
? Strong familiarity with healthcare credentialing processes, payer enrollment procedures, and regulatory requirements.
? Ability to troubleshoot issues, follow up on pending items, and manage deadlines in a fast-paced environment.
Job Types: Part-time, Contract
Pay: $30.00 - $55.00 per hour
Expected hours: 2 ? 20 per week
Work Location: Remote
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