Credentialing Specialist

4 weeks ago

Delhi, India Zealie – Behavioral Health Billing Services Full time

Company Description

Zealie specializes in automating revenue cycle management for the Behavioral Health and Substance Abuse Treatment industry, enhancing claim reimbursement rates and adjudication speeds through data-driven analytics. Based on a synergy of billing experts, industry professionals, and in-house software developers, Zealie offers comprehensive billing services and rich analytical insights. Our solutions allow real-time monitoring of key performance indicators, interactive heat maps, and accurate revenue forecasting, supporting informed business decisions and optimized reimbursement rates.

Role Description

This is a full-time remote role for a Credentialing Specialist. The Credentialing Specialist will be responsible for managing the credentialing process for healthcare providers, ensuring compliance with Medicare and other regulations, and providing excellent customer service. Day-to-day tasks include verifying credentials, maintaining up-to-date records, and communicating with insurance companies and healthcare providers to resolve issues.

Qualifications

  • Experience in Behavioral and Medical Credentialing for Facilities and Providers
  • Minimum 3 years of Credentialing experience on paper
  • Strong Communication and Customer Service skills
  • Knowledge of In-Network application submission via portal and forms is mandatory
  • Ability to work independently and remotely
  • Excellent organizational skills and attention to detail
  • Previous experience in the healthcare or billing industry is a Mandatory
  • Bachelor's degree in Healthcare Administration, Business, or related field is preferred

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