Associate - Credentialing

2 weeks ago

Uttar Pradesh, India CompuGroup Medical Full time

JD Senior Associate
- Credentialing

As a pioneer in digital health our heart beats for the development and implementation of new technologies. For the next level of e-health evolution we are looking for creative minds who enjoy working with a variety of technologies, their own design freedom and professional development.

What you can expect from us:

- Health Insurance Accidental Insurance Both sides pick up and Drop facility/ Self Transport Allowance
- Subsidized Meals
- Fun at Work
- Career Growth -Best in the Industry
- Merit Increment -Best in the Industry
- Employee Friendly Environment
- Best HR Practices
- Secured workplace for employees
- Ample scope of Reward and Recognitions

**Responsibilities**:

- Should have working experience in US Healthcare -Credentialing Process-Payer and Provider Processes.
- Ensure credentialing processes are following professional standards, bylaws, state and federal regulatory requirements.
- Oversee day-to-day operational credentialing and privileging activities. Collaborating with the Credentialing Manager to ensure proper functioning of activities, policies, and procedures.
- Verifying primary source data, such as provider education, board certifications, licensure, and other eligibilities /documents.
- Work on experience in All modules of CAQH. Overall, should be expertise with CAQH.
- Ensuring timely credentialing and re-credentialing of network providers and working with Internal/External Team to ensure credentialing files completed within timeframe and compliance.

Synchronizing Healthcare

Become ALL IN with head, heart, and hand.

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