Credentialing Executive
2 days ago
Job Title: Healthcare Credentialing Executive (Provider Side)
Location: Chennai
Salary: Up to ₹6 LPA
Experience Required: Minimum 2 Years
Qualification: Bachelor's Degree or HSC
Job Summary:
We are seeking an experienced Healthcare Credentialing Executive to manage and maintain the credentialing process for healthcare providers. The ideal candidate will have hands-on experience in working with Cigna, CAQH, Medicare, and other healthcare networks, ensuring all provider credentials are up-to-date and compliant with regulatory standards.
Key Responsibilities:
- Manage and process provider credentialing and re-credentialing applications accurately and within set timelines.
- Work closely with insurance companies such as Cigna, Medicare, and other payers to verify provider participation.
- Maintain and update provider profiles in CAQH and other credentialing databases.
- Review and verify provider documents, licenses, certifications, and other credentials.
- Communicate with providers to obtain necessary information or documentation.
- Ensure compliance with state, federal, and payer-specific regulations and requirements.
- Track credentialing progress and maintain detailed reports.
- Coordinate with internal teams and insurance providers to resolve credentialing issues promptly.
Key Skills and Requirements:
- Minimum 2 years of experience in healthcare credentialing (provider side).
- Strong knowledge of Cigna, CAQH, Medicare, and payer credentialing processes.
- Excellent communication and documentation skills.
- Attention to detail and ability to manage multiple tasks efficiently.
- Proficiency in MS Office tools and credentialing software systems.
- Ability to work independently and as part of a team.
Employment Type:
Full-Time (Work from Office)
Job Type: Full-time
Pay: ₹35, ₹55,000.00 per month
Work Location: In person
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