Process Associate
1 week ago
**Process Associate (Credentialing)**
**Preferred Experience**:0.6-1 year
**Key Responsibilities**:
- Verify provider qualifications include education, training, licensure, board certification, work history, and malpractice history.
- Maintain and update provider information in credentialing databases such as CAQH, Medallion, and internal systems.
- Track license and certification expiration dates and coordinate timely renewals.
- Communicate with providers, payers, and regulatory bodies to resolve discrepancies or obtain missing documentation.
- Prepare documentation for audits and accreditation reviews.
- Ensure compliance with federal, state, and organizational credentialing standards.
- Support onboarding and termination processes related to provider credentials.
**Qualifications**:
- Minimum 6 months of experience in credentialing, provider enrollment, or healthcare compliance.
- Familiarity with credentialing software and portals (e.g., CAQH, PECOS).
- Excellent communication and follow-up abilities.
- Knowledge of Medicare, Medicaid, and commercial payer requirements is a plus.
**Job Types**: Full-time, Permanent
Pay: ₹20,000.00 - ₹30,000.00 per month
**Benefits**:
- Paid time off
- Provident Fund
Schedule:
- Evening shift
- Night shift
- US shift
Work Location: In person
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