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Credentialing Executive
3 weeks ago
**Job description**
- Manage credentialing for healthcare providers, ensuring accurate and timely processing.
- Verify provider credentials, licenses, and certifications for compliance.
- Coordinate with insurance companies to enroll providers and resolve enrollment issues.
- Maintain and update provider information in the RCM system.
- Monitor enrollment statuses and track changes in insurance plans and regulations.
- Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases.
- Should have excellent knowledge in Group Medicare and Medicaid Enrollment/Contracts along with commercial insurances.
**Job Requirement**:
- Bachelor’s degree in any discipline.
- Minimum of 1 to 3 years of experience working in healthcare credentialing, preferably in a medical billing or revenue cycle management setting.
- Excellent communication in English, both written and oral.
- Willing to work the night shift (any 9 hrs. between 6:30 pm 3:30 am)
- Salary: as per company policy
**Job Types**: Full-time, Permanent
Pay: ₹20,000.00 - ₹35,000.00 per month
**Benefits**:
- Food provided
- Leave encashment
- Paid sick time
- Paid time off
- Provident Fund
Schedule:
- Fixed shift
- Monday to Friday
- Night shift
- US shift
**Experience**:
- total work: 1 year (required)
Work Location: In person
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