Credentialing Specialist

6 days ago

Mohali, Punjab, India Vision Unlimited Full time ₹ 9,00,000 - ₹ 12,00,000 per year

Role & responsibilities

Credentialing Specialist will work with the credentialing team in the United States to help physicians, medical practices, and healthcare organizations with credentialing and enrollment. The roles and responsibilities include:

  • Track and follow up with providers for timely return of all required credentialing documents and applications
  • Assist in synchronization of data among multiple systems
  • Maintain credentialing database and ensure up-to-date tracking of application process
  • Document progress in project management software, and provide regular updates to management
  • Work with commercial and governmental payers for credentialing and enrolment of multiple provider specialties and facility types
  • Stay up to date on licensing, verification, and state specific rules and bylaws to maintain compliance
  • Display in depth knowledge of and execution of all standard operating procedures (SOPs) as well as communicating issues, trends, concerns, and suggestions to management
  • Perform other duties as assigned

Preferred candidate profile

  • Strong knowledge of the US healthcare landscape
  • Basic medical billing and payer network skillset required
  • Thorough knowledge of CAQH, with ability to document and prepare applications for healthcare providers
  • Intermediate knowledge of provider hospital credentialing and hospital admitting privileges
  • Ability to plan, prioritize, and complete work to meet established objectives
  • Highly proficient with computers, especially Word and Excel
  • Excellent written and oral English communication skills
  • Positive attitude and an outgoing personality
  • Ability to work night shifts

Experience: More than 1 years experience in provider credentialing and enrolment

Qualification: Graduate with relevant work experience required

Shifts: Night Shift (6:30 pm 4:00 am) Monday to Friday

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