Medical Credentialing Specialist

Medical Credentialing Specialist

Overview

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.

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.

Requirements

• 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

• Accommodation provided.
• Competitive monthly salary.
• Opportunity to work with U.S.-based healthcare providers.