Credentialing Executive

2 weeks ago

Ahmedabad India Shukla Information Solutions Pvt Ltd Full time

Job Description 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. - Manage all aspects of the provider enrollment and credentialing process, including initial applications, re-credentialing and maintaining provider information in all necessary systems. - 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

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