Credentialing Tl

4 weeks ago

Chennai Tamil Nadu, India All Care Therapies Full time

**Job Description** Position**: Credentialing TL - US Medical Billing

**Compensation**: Depends on Experience & Qualification

**Job Type**: Full Time, 8 hour shift with overlapping time with PST (California Time zone)

**Location**: Remote / Chennai, TN Start Date: ASAP

**Experience**: 5 years + Industry: Healthcare - Health Services

Primary duties may include, but are not limited to:

- Maintaining relationships with key directors and managers at IPAs and medical groups.
- Handling credentialing team members and coach them.
- Acquiring new insurance contracts for physician/medical group clients.
- Renegotiating contract rates for physician/medical group clients.
- Familiar with contracting terms and definitions..i.e. LOA’s. MOU’s, LOI’s
- Knowledge of CPT codes and ICD 9
- Possess superior organizational skills
- Previous experience working with contract regulations for managed care.
- Excellent Customer Service experience dealing with Provider Relations departments.

**Qualifications**
- Bachelor's Degree or equivalent combination of education and experience.
- 5+ years of experience in Insurance Contracting & Credentialing. (required) with team handling
- Experience with obtaining insurance/IPA contracts. (required)
- 5+ years of experience with US based Health plans/IPA's (required)

**Additional Information** Benefits**:

- Group Health Insurance
- Leave Encashment on Gross
- Yearly Bonus
- 12 Paid Indian & US Holidays
- WFH

SLP-tele is an equal opportunity employer. All aspects of employment, including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

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