Urgent Requirement On Credentialing Profiles

2 weeks ago

New Nallakunta Hyderabad Telangana, India EBA consultants pvt ltd Full time

Key Responsibilities:

- Credentialing and re-credentialing process for healthcare providers,
- ensuring compliance with regulatory and accreditation standards.
- Collaborate with Management team to provide updates and address any credentialing-related inquiries.
- Ensure compliance with all federal, state, and payer-specific credentialing requirements.Maintain and audit provider files for accuracy, completeness, and compliance with CPCS and industry standards.

Qualifications:

- Proven experience in physician credentialing and contracting, particularly in California.
- Familiarity with MODIO Health credentialing software (strongly preferred).CPCS (Certified Provider Credentialing Specialist) certification preferred.
- Membership in NAMSS (National Association of Medical Staff Services) preferred.Strong knowledge of healthcare regulatory requirements and payer enrollment processes.
- Highly organized, detail-oriented, and capable of managing multiple priorities.

A minimum of two years credentialing experience

Thanks,

HR Manager

**Benefits**:

- Health insurance

Schedule:

- Monday to Friday

Supplemental Pay:

- Overtime pay

**Experience**:

- total work: 3 years (preferred)

Work Location: In person

Application Deadline: 07/12/2024

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