Credentialing Specialist

5 days ago

Ahmedabad, Gujarat, India Ambit Global Solution Full time ₹ 6,00,000 - ₹ 12,00,000 per year

Company Description

Ambit Global Solution is a leading medical and dental billing and revenue cycle management company. We help organizations maximize revenue and reduce operating costs with our highly trained team of experts, who provide 1:1 dedicated services, full transparency, and data tracking. Our powerful technology solutions and client-focused service significantly improve the efficiency and profitability of medical practices, hospitals, dental groups, GPOs, and third-party administrators. We are ISO 27001 Certified and HIPAA compliant, serving over 500 healthcare providers across all specialties. Our teams include more than 300 professionals, including AAPC certified coders with expertise in CPT, ICD-10, HCPCS level II, and DRG codes.

Role Description

This is a full-time on-site role for a Credentialing Specialist, located in Ahmedabad. The Credentialing Specialist will be responsible for processing and maintaining the credentialing and re-credentialing of medical staff, ensuring compliance with all regulatory and accreditation standards. Day-to-day tasks include verifying professional credentials, maintaining credentialing files, liaising with healthcare providers and insurance companies, handling inquiries related to credentialing, and ensuring all documentation is up-to-date and accurate.

Qualifications

  • Experience in Credentialing and Medical Staff Credentialing
  • Strong Communication and Customer Service skills
  • Knowledge of Medicare regulations and requirements
  • Attention to detail and ability to work in a fast-paced environment
  • Excellent organizational and time management skills
  • Proficiency in computer software and databases related to credentialing
  • Bachelor's degree in Healthcare Administration or related field is preferred
  • Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) is a plus

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