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Backend Operations Manager for Senior Executives
2 weeks ago
We are seeking a highly skilled Senior Executive to join our team at EXL IT Service Management, specializing in Backend operations for Senior Executives. The ideal candidate will have experience in US Provider Credentialing and be able to work independently in a fast-paced environment.
Detailed responsibilities include:
- Providing expert-level knowledge of US Provider Credentialing.
- Running PSV checks and identifying Hard Stops in a process.
- Knowledge of Federal and Commercial payers credentialing process.
- Having good knowledge in Credentialing documents.
- Having good knowledge in CAQH and PECOS applications.
- Running Board Certification.
- Identifying Malpractice Certificate.
- Reviewing provider account in client system.
- Presentationg applicable contract for agreement.
- Verification of application & supporting documents.
Requirements
This role requires:
- Experience in US Healthcare – Provider side of business.
- Maintaining quality in each task.
- Maintaining and increasing the efficiency of a business.
- Flexibility towards shifts due to business requirements.
- Problem-solving and analytical skills.
- SOUND KNOWLEDGE ON WORKING ON MS EXCEL.
- Able to effectively communicate with clients.
- Following instructions from clients.
- Making decisions within compliance of State and Federal Legislation.
- Manages multiple tasks and demonstrates excellent time management skills.