Administrative Operations Specialist - Full Time
Administrative Operations Specialist - Full Time
Posted on :
30-08-2025
Employer Active
1 Vacancy
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Job Description
Main Function:
Initial Credentialing & Recredentialing
- Prepare and process initial and recredentialing applications for physicians advanced practice providers and allied health professionals.
- Verify credentials including education training licensure board certification DEA malpractice history work history and professional references.
- Ensure compliance with NCQA CMS Joint Commission and payer requirements.
Data Management
- Maintain accurate provider files and credentialing database systems (e.g. CAQH Internal Database).
- Track expirables (licenses certifications insurance) and send timely renewal reminders.
- Monitor and update provider rosters with payers and internal systems.
Payer Enrollment
- Complete and submit applications for payer enrollment and participation in insurance networks (Medicare Medicaid commercial payers).
- Follow up on applications and resolve issues or discrepancies that delay credentialing or enrollment.
Communication
- Coordinate with providers practice managers human resources medical staff office and payers to gather required documentation and respond to credentialing inquiries.
- Communicate credentialing status and follow-ups in a timely and professional manner.
Audit & Compliance
- Prepare documentation for internal and external audits.
- Stay current on regulatory and payer changes impacting credentialing and enrollment.
Accounts Payable:
- Receive review and process invoices for payment in accordance with company policies and vendor terms.
- Match purchase orders receipts and invoices for accuracy and resolve discrepancies.
- Maintain accurate records of vendor accounts and ensure timely payments.
- Process employee reimbursements and corporate credit card statements.
- Prepare and process ACH wire and check payments; manage payment schedules.
- Assist in month-end closing processes including accruals and reconciliation of accounts payable balances.
Payment Processing:
Track and process outgoing payments and ensure proper GL coding.
Monitor payment status and resolve any payment-related issues with vendors or internal departments.
- Maintain internal controls to ensure accuracy security and compliance in all payment activities.
Data Analytics & Reporting:
- Develop maintain and analyze financial reports related to accounts payable cash flow and vendor trends.
- Use Excel Power BI or similar tools to create dashboards and insights that inform financial decisions.
- Identify opportunities to reduce costs or increase process efficiency through data analysis.
- Support budgeting and forecasting efforts with historical payment and spending data.
Experience:
- Bachelors Degree Required.
Education:
- Minimum of 5 years experience in a healthcare setting.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
Key Skills
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