Customer Care Executive
3 days ago
**Key Responsibilities**:
- **Credentialing**:
- Oversee the entire credentialing process for new and existing providers.
- Ensure all provider credentials are verified and maintained according to organizational policies and procedures.
- Coordinate with providers to obtain necessary documentation and information.
- Maintain accurate credentialing records in the credentialing database/system.
- Ensure compliance with state, federal and accrediting body requirements.
**2.Contract Management**:
- Prepare, review and manage contracts with providers, payers and other healthcare entities.
- Ensure contracts are compliant with organizational standards and regulatory requirements.
- Track contract terms, renewals and expirations.
- Collaborate with legal, compliance and finance departments to resolve contract issues.
- Maintain a comprehensive contract database and ensure all contracts are up-to-date.
**3.Compliance**:
- Stay informed about changes in regulations and accreditation standards related to credentialing and contracting.
- Conduct periodic audits of credentialing and contract records to ensure compliance.
- Assist in developing and updating policies and procedures related to credentialing and contracting.
**4.Communication and Collaboration**:
- Serve as a liaison between providers, payers and internal departments regarding credentialing and contract issues.
- Provide training and support to providers and staff on credentialing and contracting processes.
- Address and resolve provider inquiries and concerns in a timely manner.
**5.Reporting**:
- Generate regular reports on the status of credentialing and contracting activities.
- Present findings and recommendations to management as needed.
- Track and report key performance indicators (KPIs) related to credentialing and contracting processes.
**Job Types**: Full-time, Permanent, Fresher
Pay: ₹10,240.22 - ₹24,848.65 per month
**Benefits**:
- Provident Fund
Schedule:
- Fixed shift
- Monday to Friday
- Night shift
- US shift
Application Question(s):
- What is your salary expectation?
- Are you a fresher?
**Language**:
- English (preferred)
Shift availability:
- Night Shift (preferred)
Work Location: In person
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