Credentialing Specialist

Job descriptionCredentialing Specialist(Provider Side)We are looking for a Experienced Credentialing Specialist(Provider Side) to join our medical billing team for the Mid shift. The ideal candidate will have 1-4 years of experience in medical billing with a strong focus on Credentialing Process(Provider Side).Job Role: Credentialing Enrollment(Provider...

Job Title: Credentialing ExecutiveLocation: ChennaiExperience: Minimum 1 year (in Credentialing)Qualification: Any Degree (Mandatory)Shift: Night ShiftCab Facility: Not AvailableJob Description:Perform provider credentialing and re-credentialing processes accurately as per client requirements.Verify physician and healthcare provider credentials, licenses,...

Good Knowledge in Provider credentialing (Doctor side)Experience in Insurance callingGood knowledge in filling insurance enrolment applications CAQH, PECOS application documents required for filing credentialing applications from the physicians.

Handle provider credentialing and payer enrollment.Update data in CAQH, PECOS, and Availity.Verify documents and ensure compliance.Communicate with payers and providers.Prepare reports for audits Required Candidate profile2–3 years of experience in healthcare credentialing. Knowledge of portals like CAQH, PECOS, Availity. Good communication and...

To maintain individual provider files to include up to date information needed to complete the required federal and commercial provider credentialing applications.To Maintain internal provider data to ensure all information is accurate and logins are available up-to date.To Update each providers CAQH database file timely according to the priority norms.To...

Industry & Sector:A technology-enabled healthcare provider services and healthcare BPO organisation operating across payer and provider networks. We support provider enrollment, network management, and regulatory compliance for healthcare customers across India. This on-site role is based in India and focuses on operational excellence in credentialing...

Industry & Sector:A technology-enabled healthcare provider services and healthcare BPO organisation operating across payer and provider networks. We support provider enrollment, network management, and regulatory compliance for healthcare customers across India. This on-site role is based in India and focuses on operational excellence in credentialing...

OverviewThe Credentialing Team Lead is responsible for managing and overseeing the day-to-day operations of the Credentialing department. This role ensures compliance with U.S. federal and state regulations, as well as organizational policies and procedures while leading a team of Operations Associates (i.e. credentialing...

Company DescriptionVentra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, and radiology. We specialize in delivering comprehensive business services tailored to the unique needs of healthcare providers. Our dedicated team supports physicians through efficient and innovative...

Provider Support Specialist - ClinicalLocation: Onsite - Porur, Chennai, TNPositions Numbers: 1Shift Timing: 8:30pm to 5.30am IST Night ShiftJob Summary:The Provider Support Specialist serves as a vital link between the organization and its provider network, ensuring seamless operational support across various touchpoints. This role focuses on maintaining...