Credentialing Specialist

1 week ago

Ahmedabad, Gujarat, India LETS ENKINDLE SOFTSERV PRIVATE LIMITED Full time
Credentialing Specialist

At LETS ENKINDLE SOFTSERV PRIVATE LIMITED, we are seeking a highly organized and detail-oriented Credentialing Specialist to join our team. The ideal candidate will have a strong understanding of Medicaid regulations and MCO credentialing requirements, as well as excellent communication and organizational skills.

Key Responsibilities:
  • Medicaid and MCO Credentialing:
    • Manage the credentialing and re-credentialing process for healthcare providers, ensuring compliance with Medicaid regulations and MCO requirements.
    • Collect, verify, and process credentialing documentation for providers.
    • Maintain up-to-date knowledge of MCO policies and Medicaid credentialing requirements.
  • Medicare Credentialing:
    • Oversee the Medicare credentialing process for healthcare providers, ensuring adherence to federal guidelines.
    • Ensure providers meet all necessary qualifications for Medicare participation.
  • Regulatory Compliance:
    • Stay updated on relevant Medicaid, MCO, and Medicare regulations and guidelines.
    • Ensure compliance with state and federal laws governing credentialing processes.
  • Documentation Management:
    • Collect, review, and accurately maintain credentialing documentation, including licenses, certifications, and background checks.
    • Track credentialing timelines, ensuring timely renewals of provider credentials and licenses.
    • Ensure documentation is audit-ready and compliant with all regulatory requirements.
  • Communication & Collaboration:
    • Work closely with internal teams and external stakeholders to ensure a smooth credentialing workflow.
    • Serve as the primary point of contact for inquiries related to credentialing.
  • Data Management:
    • Use credentialing software to manage, update, and track provider credentialing data.
    • Conduct regular audits of credentialing files to maintain data accuracy.
Qualifications:

Associate's or Bachelor's degree in healthcare administration, business administration, or a related field preferred.

Skills:

  • Strong understanding of Medicaid regulations and MCO credentialing requirements.
  • Knowledge of Medicare credentialing processes.
  • Attention to detail and excellent organizational skills.
  • Strong written and verbal communication skills.
  • Ability to handle multiple tasks and meet deadlines.
  • Proficiency in credentialing software and systems.

  • Credentialing Specialist

    6 days ago

    Ahmedabad, Gujarat, India LETS ENKINDLE SOFTSERV PRIVATE LIMITED Full time

    Credentialing SpecialistLETS ENKINDLE SOFTSERV PRIVATE LIMITED is seeking a highly organized and detail-oriented Credentialing Specialist to manage and process credentialing documentation for healthcare providers, ensuring compliance with state and federal regulations.Key Responsibilities:Medicaid and MCO Credentialing:Manage the credentialing and...

  • Credentialing Specialist

    2 days ago

    Ahmedabad, Gujarat, India LETS ENKINDLE SOFTSERV PRIVATE LIMITED Full time

    Credentialing SpecialistJob Overview:At LETS ENKINDLE SOFTSERV PRIVATE LIMITED, we are seeking a highly organized and detail-oriented Credentialing Specialist with specialized knowledge in Medicaid and Managed Care Organizations (MCOs). The ideal candidate will be responsible for managing and processing credentialing documentation for healthcare providers,...

  • Strategic Account Growth Specialist

    2 days ago

    Ahmedabad, Gujarat, India Stryker India Private Limited Full time

    About the Role:We are seeking a highly skilled Strategic Account Growth Specialist to join our team at Stryker India Private Limited. As a key member of our sales team, you will be responsible for building and maintaining long-term relationships with our key accounts across various business verticals.Key Responsibilities:Develop and execute account-specific...

  • Digital Content Strategist

    3 days ago

    Ahmedabad, Gujarat, India MapMyBusiness Full time

    We are seeking a skilled Digital Content Strategist to oversee our company's presence on various public platforms.Key Responsibilities:Lead a team of social media specialists in creating engaging content.Develop written pieces that are informative, memorable, and effective at prompting readers to take action.Collaborate with multimedia designers to ensure...

  • Social Media Strategist

    2 days ago

    Ahmedabad, Gujarat, India MapMyBusiness Full time

    MapMyBusiness Seeks Social Media ExecutiveWe are looking for a skilled and creative social media executive to lead our company's online presence across various platforms.Key Responsibilities:Supervise and train a team of social media specialists to ensure consistency and quality in our online content.Develop engaging written content that resonates with our...

  • Credentialing Specialist

    1 week ago

    Ahmedabad, India LETS ENKINDLE SOFTSERV PRIVATE LIMITED Full time

    Credentialing Specialist Job Overview:We are seeking a highly organized and detail-oriented Credentialing Specialist with specialized knowledge in Medicaid and Managed Care Organizations (MCOs). The Credentialing Specialist will be responsible for managing and processing credentialing documentation for healthcare providers, ensuring compliance with state...

  • Social Media Executive

    5 months ago

    Ahmedabad, India MapMyBusiness Full time

    We are looking for a witty and strategic social media executive to oversee our company's presence on a multitude of public platforms.Responsibilities:Training and supervising a cohort of social media specialists.Creating written pieces that are sharp, memorable, and effective at prompting readers to take action.Collaborating with Videographers and Multimedia...

  • Social Media Marketing Executive

    5 months ago

    Ahmedabad, Gujarat, India TALENT HUB HR SOLUTION Full time

    Training and supervising a cohort of social media specialists. - Creating written pieces that are sharp, memorable, and effective at prompting readers to take action. - Collaborating with Videographers and Multimedia Designers to ensure that posts are engaging. - Optimizing content for publication across various social media sites. - Scheduling copy for...

  • Tender Executive

    2 months ago

    Ahmedabad, Gujarat, India E-Procurement Technologies Limited Full time

    We are hiring **Tender bidding specialist** **Job Location**:Ahmedabad **Experience: 1-3 years** **Major Requirements: - ** * (1) **Other Than GeM Portals like ,(i.e BHEL, IREPS, BPCL, IOCL, N-Procure ,All NIC States Procurement Portals etc.for CPPP, - Registration & Bidding Support Both )** (2) Vendor Assessment / OEM Panel Through RITES portal (3)...

  • Facebook Ads Expert

    5 months ago

    Ahmedabad, Gujarat, India MediaNV Full time

    **Job requirement**: **Designation**: Facebook Ads/Instagram Ad Specialist **Education qualification**: BCA/MCA/B. Tech./M. Tech./B.SC.IT/BE Computer **Job Location**: Thaltej, Ahmedabad (WFO) **Experience**: Must have a minimum of 2+ years in Facebook Ads Specialist **Job Overview**: A FacebookAds Specialist is a digital marketing professional...

  • Cyber Security Expert

    1 month ago

    Ahmedabad, Gujarat, India Amnex Infotechnologies Private Limited Full time

    **Job description**: - Safeguarding information system assets, protecting systems by defining access privileges, control structures and resources, Implementing security improvements. - To ensure the security of our business information, employee data and client information throughout our entire network. - Require skill set of determine security violations...

  • Social Media Executive

    5 months ago

    Ambli, Ahmedabad, Gujarat, India AVITA Health Services Pvt Ltd Full time

    **Social Media Executive Job Description** We are looking for a witty and strategic social media executive to oversee our company's presence on a multitude of public platforms. The social media executive should create gripping content, analyze public feedback, and report on the effects of each key undertaking. You should also keep track of all access...

  • Mobile React Native Developer

    6 days ago

    ahmedabad, India Xoriant Full time

    About this position:We are eagerly seeking candidates with 6 to 11 years’ experience for a Mobile React Native Developer, to join our dynamic team in this role as Senior Mobile React Native Developer, you will be responsible for developing and maintaining the platform infrastructure that powers the platform. You will work very closely with our Frontend...

  • Mobile React Native Developer

    1 month ago

    ahmedabad, India Xoriant Full time

    About this position: We are eagerly seeking candidates with 6 to 11 years’ experience for a Mobile React Native Developer, to join our dynamic team in this role as Senior Mobile React Native Developer, you will be responsible for developing and maintaining the platform infrastructure that powers the platform. You will work very closely with our Frontend...

  • Mobile React Native Developer

    1 month ago

    Ahmedabad, India Xoriant Full time

    About this position:We are eagerly seeking candidates with 6 to 11 years’ experience for a Mobile React Native Developer, to join our dynamic team in this role as Senior Mobile React Native Developer, you will be responsible for developing and maintaining the platform infrastructure that powers the platform. You will work very closely with our Frontend...

  • Mobile react native developer

    6 days ago

    Ahmedabad, India Xoriant Full time

    About this position: We are eagerly seeking candidates with 6 to 11 years’ experience for a Mobile React Native Developer, to join our dynamic team in this role as Senior Mobile React Native Developer, you will be responsible for developing and maintaining the platform infrastructure that powers the platform. You will work very closely with our Frontend...

  • Mobile React Native Developer

    6 days ago

    Ahmedabad, India Xoriant Full time

    About this position: We are eagerly seeking candidates with 6 to 11 years’ experience for a Mobile React Native Developer, to join our dynamic team in this role as Senior Mobile React Native Developer, you will be responsible for developing and maintaining the platform infrastructure that powers the platform. You will work very closely with our Frontend...

  • Mobile React Native Developer

    4 weeks ago

    Ahmedabad, India Xoriant Full time

    About this position: We are eagerly seeking candidates with 6 to 11 years’ experience for a Mobile React Native Developer, to join our dynamic team in this role as Senior Mobile React Native Developer, you will be responsible for developing and maintaining the platform infrastructure that powers the platform. You will work very closely with our Frontend...

  • 3 Days Left: Mobile React Native Developer

    3 weeks ago

    Ahmedabad, India Xoriant Full time

    About this position:We are eagerly seeking candidates with 6 to 11 years’ experience for a Mobile React Native Developer, to join our dynamic team in this role as Senior Mobile React Native Developer, you will be responsible for developing and maintaining the platform infrastructure that powers the platform. You will work very closely with our Frontend...

  • Mobile React Native Developer

    1 month ago

    Ahmedabad, India Xoriant Full time

    About this position:We are eagerly seeking candidates with 6 to 11 years’ experience for a Mobile React Native Developer, to join our dynamic team in this role as Senior Mobile React Native Developer, you will be responsible for developing and maintaining the platform infrastructure that powers the platform. You will work very closely with our Frontend...

  • Mobile React Native Developer

    3 weeks ago

    Ahmedabad, India Xoriant Full time

    About this position:We are eagerly seeking candidates with 6 to 11 years’ experience for a Mobile React Native Developer, to join our dynamic team in this role as Senior Mobile React Native Developer, you will be responsible for developing and maintaining the platform infrastructure that powers the platform. You will work very closely with our Frontend...

  • Mobile React Native Developer

    1 month ago

    Ahmedabad, India Xoriant Full time

    About this position:We are eagerly seeking candidates with 6 to 11 years’ experience for a Mobile React Native Developer, to join our dynamic team in this role as Senior Mobile React Native Developer, you will be responsible for developing and maintaining the platform infrastructure that powers the platform. You will work very closely with our Frontend...

  • Mobile React Native Developer

    1 month ago

    ahmedabad, India Xoriant Full time

    About this position: We are eagerly seeking candidates with 6 to 11 years’ experience for a Mobile React Native Developer, to join our dynamic team in this role as Senior Mobile React Native Developer, you will be responsible for developing and maintaining the platform infrastructure that powers the platform. You will work very closely with our Frontend...

  • Mobile React Native Developer

    1 month ago

    ahmedabad, India Xoriant Full time

    About this position:We are eagerly seeking candidates with 6 to 11 years’ experience for a Mobile React Native Developer, to join our dynamic team in this role as Senior Mobile React Native Developer, you will be responsible for developing and maintaining the platform infrastructure that powers the platform. You will work very closely with our Frontend...

  • Mobile React Native Developer

    1 month ago

    Ahmedabad, India Xoriant Full time

    About this position:We are eagerly seeking candidates with 6 to 11 years’ experience for a Mobile React Native Developer, to join our dynamic team in this role as Senior Mobile React Native Developer, you will be responsible for developing and maintaining the platform infrastructure that powers the platform. You will work very closely with our Frontend...