Credentialing Specialist

2 weeks ago

Ahmedabad, Gujarat, India EMP Claim Solutions Inc Full time ₹ 3,60,000 - ₹ 60,00,000 per year
  • Respond promptly to credentialing-related emails and follow-ups within 24 hours.
  • Manage onboarding of new providers, including welcome communication, documentation, and source verification.
  • Handle Collaborative Agreements and update provider records in systems
  • Submit and track payor applications and rosters; ensure follow-ups with payors.
  • Allocate and prioritize tasks via CMD based on daily workload.
  • Maintain and update CAQH profiles every 120 days for active providers.
  • Conduct monthly OIG verifications and ensure compliance with client requirements.
  • Prepare regular reports on credentialing holds, provider onboarding status, and facility credentialing by payor.
  • Participate in weekly calls with internal stakeholders and clients.
  • Maintain and update SOPs related to credentialing.

Job Types: Full-time, Permanent

Pay: ₹25, ₹50,000.00 per month

Benefits:

  • Health insurance
  • Leave encashment
  • Paid sick time
  • Provident Fund

Work Location: In person

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