Credentialing

4 weeks ago


India AM Medical IT Solutions Pvt. Ltd. Full time

Credentialing Specialist (Nightshift)

Location: A002 UB, Boherang Building, Oberoi Garden, Chandivali, Andheri East, Mumbai

Job Type: Full-Time

Job Summary:

The Credentialing Specialist oversees the credentialing and recredentialing process for healthcare providers. This involves ensuring that all necessary documentation is submitted, verified, and compliant with healthcare regulations and insurance company requirements.

This role requires close collaboration with various stakeholders to ensure timely and accurate processing of credentialing applications.

Key Responsibilities:

  • Manage the credentialing and recredentialing process for healthcare providers
  • Ensure timely documentation submission and compliance with regulatory requirements
  • Verify qualifications and coordinate with insurance companies
  • Collaborate with the billing team to resolve issues and support providers with the credentialing process
  • Continuously improve procedures and stay updated on industry trends

Desired Candidate Profile:

  • Bachelor's degree
  • At least 6 months of experience in credentialing
  • Strong understanding of healthcare industry standards and payer requirements
  • Familiarity with credentialing software and/or healthcare management systems
  • Strong understanding of HIPAA compliance and privacy regulations
  • Excellent written and verbal communication skills
  • Exceptional attention to detail
  • Proficient in Microsoft Office Suite (Excel, Word) and credentialing management systems

What We Offer:

A dynamic work environment and opportunities for growth and development.



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