Medical Credentialing Specialist

Medical Credentialing Specialist

We are actively seeking a meticulous and dedicated Medical Credentialing Specialist to join our team in Chevron, Lagos. This on-site role is crucial for supporting U.S.-based healthcare providers by managing their credentialing and re-credentialing processes, ensuring seamless operations and regulatory compliance.

You will be responsible for the comprehensive lifecycle of provider enrollment, from verifying licenses and credentials to coordinating with insurance payers and maintaining precise documentation. This position requires a strong understanding of healthcare administration and a commitment to accuracy.

This is an excellent opportunity for professionals with prior experience in U.S. healthcare credentialing to contribute to a vital function while working in a supportive environment, with accommodation provided.

Required Skills

• Medical Credentialing
• Provider Enrollment
• CAQH
• NPI Verification
• HIPAA Compliance
• Data Entry
• Excel
• Communication
• Documentation Management
• Payer Relations

Key Responsibilities

• Manage the end-to-end credentialing and re-credentialing processes for healthcare providers
• Complete and maintain CAQH profiles and provider enrollment applications accurately
• Verify National Provider Identifier (NPI), state licenses, and DEA registrations
• Coordinate effectively with insurance and payer organizations regarding enrollment and follow-up
• Track expiration dates diligently and ensure timely renewal of all credentials
• Maintain accurate and up-to-date records in credentialing databases and Excel trackers
• Communicate professionally with providers and payers to resolve outstanding documentation issues
• Ensure all credentialing processes strictly comply with HIPAA and relevant privacy regulations

Qualifications

• B.Sc./HND in Health Information Management, Business Administration, Nursing, or a related field

• Demonstrated knowledge of HIPAA and healthcare privacy requirements

• Prior experience in U.S. healthcare credentialing, provider enrollment, or medical administration is preferred

• Strong documentation, data entry, and advanced Excel skills

• Excellent spoken and written English with strong communication and interpersonal abilities

• Comfortable working on-site and independently across U.S. time-zone requirements (4 PM - 1 AM)

• Benefits & Perks

• Accommodation provided

• Competitive monthly salary

• Opportunity to work with U.S.-based healthcare providers