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Credentialing Specialist I Vadodara, India
1 week ago
Description
Responsibilities: - Coordinate and manage the credentialing and re-credentialing process for healthcare providers, including physicians, nurses, therapists, and other allied health professionals.- Collect and review provider credentialing applications, ensuring accuracy and completeness of information.- Verify provider credentials, including education, training, licensure, certifications, and professional experience, through primary sources and credentialing databases.- Communicate with healthcare providers, licensing boards, professional organizations, and insurance carriers to obtain necessary documentation and resolve credentialing issues.- Maintain accurate and up-to-date provider credentialing files and databases, ensuring compliance with regulatory standards and accreditation requirements.- Monitor and track credentialing status and expirations, initiating re-credentialing processes as needed to maintain provider network participation.- Collaborate with internal departments, including billing, compliance, and human resources, to ensure timely credentialing and enrollment of providers. Qualifications: - Bachelor's degree in healthcare administration, business administration, or related field preferred.- Minimum of 0-2 years of experience in credentialing and provider enrollment, preferably in a healthcare or RCMS setting.- Proficiency in credentialing software and databases, such as CAQH, NPPES , and payer-specific enrollment portals is a plus.- Excellent organizational skills and attention to detail, with the ability to manage multiple priorities and meet deadlines in a fast-paced environment.- Effective communication and interpersonal skills, with the ability to collaborate with internal and external stakeholders.- Knowledge of medical terminology, healthcare billing, and reimbursement processes is a plus.If you are a motivated professional with experience in credentialing and provider enrollment, we invite you to apply for the Credentialing Specialist position and join our dynamic team in the RCMS industry. Location: -Vadodara, Gujarat (work from office only) Timings:- Night Shift.
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Credentialing Specialist I Vadodara, India
1 week ago
Vadodara, India Qualifacts Systems Inc Full timeDescription Responsibilities: - Coordinate and manage the credentialing and re-credentialing process for healthcare providers, including physicians, nurses, therapists, and other allied health professionals.- Collect and review provider credentialing applications, ensuring accuracy and completeness of information.- Verify provider credentials,...
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Credentialing Supervisor Vadodara, India
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Vadodara, India Qualifacts Systems Inc Full timeDescription - Coordinate and manage the credentialing and re-credentialing process for healthcare providers, including physicians, nurses, therapists, and other allied health professionals.- Collect and review provider credentialing applications, ensuring accuracy and completeness of information.- Verify provider credentials, including education,...
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vadodara, India Qualifacts Systems Inc Full timeDescription - Coordinate and manage the credentialing and re-credentialing process for healthcare providers, including physicians, nurses, therapists, and other allied health professionals.- Collect and review provider credentialing applications, ensuring accuracy and completeness of information.- Verify provider credentials, including education,...
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Credentialing Supervisor Vadodara, India
2 weeks ago
Vadodara, Gujarat, India Qualifacts Systems Inc Full timeDescription Coordinate and manage the credentialing and recredentialing process for healthcare providers, including physicians, nurses, therapists, and other allied health professionals. Collect and review provider credentialing applications, ensuring accuracy and completeness of information. Verify provider credentials, including education, training,...
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