
Credentialing Specialist
7 days ago
- 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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