Credentialing Specialist

5 days ago

Mohali, Punjab, India i3synergist Full time ₹ 2,10,000 - ₹ 2,50,000 per year

Ideal candidate must have followed:

  • Perform all new provider credentialing, existing provider recredentialing, and personal and demographic updates for providers and groups.
  • Track all activities in the process of credentialing/recredentialing providers and clinics.
  • Ensure that all credentialing/recredentialing dates are fully complied with and nothing gets missed or lapsed.
  • Coordinating with other operations team such as billing, coding, finance to ensure all commercial terms of credentialing contracts are followed.
  • Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims.
  • Developing and modifying workflow process flows as per company requirements. Assisting RCM staff in resolving credentialing and provider enrollment issues.
  • This also includes outstate applications.
  • Assisting consultants with contracting correspondence and follow-up. Should be comfortable with voice process and interacting with US based onsite team or clients.
  • Responsible for generating daily production or worksheet reports as assigned by management.
  • Publishing regular credentialing status reports and metrics for customers.

Required Candidate profile. .

  • Basic understanding of CPT and ICD9 coding experience including use of modifiers and HCPCS codes.
  • Basic knowledge of collection laws, rules, and regulations.
  • Client Account Management/Client Interaction experience will be a big plus.
  • Knowledge of medical billing or credentialing software, preferably Kareo, Modio or any other similar.
  • Knowledge of medical billing and medical coding will be big plus.
  • Excellent knowledge of Microsoft 365 office applications like Teams, Outlook, Excel, Word, ppt, CRM Dynamics, OneDrive, Visio etc.

Competencies:

  • Excellent verbal and written English business communication skills for interacting with USA based team members/ physicians/vendors/patients.
  • Professional and able to make a great impression on the phone. Required to understand, communicate & work regularly with USA based team.
  • Candidates must be based out of Chandigarh Tricity or nearby areas like Himachal, Punjab.
  • Must have long term association with Chandigarh Tricity area.
  • Ability to work well with others and facilitate teamwork and cooperation. Positive attitude and able to follow directions.
  • Willing to cross train and cross learn other areas of RCM.
  • Tact, diplomacy, and the ability to maintain confidentiality of company, client, and patient information.
  • Must have very strong work ethic and excellent attention to detail.

Job Types: Full-time, Permanent

Pay: ₹21, ₹25,000.00 per month

Benefits:

  • Provident Fund

Work Location: In person

  • Medical Credentialing Specialist

    3 days ago

    Mohali, Punjab, India Rkta Infosystems LLP Full time ₹ 1,00,000 - ₹ 3,00,000 per year

    Job Overview:We are seeking a dedicated and detail-oriented Medical Credentialing Specialist to join our team. This role involves managing the credentialing process for healthcare professionals, ensuring they meet all required compliance standards, and facilitating the smooth operation of provider networks. The ideal candidate will have a strong...

  • US Healthcare Credentialing specialist

    1 week ago

    Mohali, Punjab, India Aarambh Global Full time ₹ 40,000 - ₹ 4,00,000 per year

    Job Summary: As a US Healthcare Credentialing Specialist working the night shift in Mohali, you will be responsible for managing the credentialing process for healthcare providers, ensuring compliance with regulatory standards and payer requirements. Your primary objective will be to facilitate the enrollment and credentialing of providers with insurance...

  • Credentialing Specialist

    5 days ago

    Mohali, Punjab, India 3D Solutions LLC Full time ₹ 2,50,000 - ₹ 3,00,000 per year

    Job description:Ideal candidate must have followed:Perform all new provider credentialing, existing provider recredentialing, and personal and demographic updates for providers and groups.Track all activities in the process of credentialing/recredentialing providers and clinics.Ensure that all credentialing/recredentialing dates are fully complied with and...

  • Credentialing Specialist

    2 weeks ago

    Mohali, Punjab, India Knack Global Full time ₹ 2,10,000 - ₹ 4,20,000 per year

    Excellent communication skills.Should have worked as a Credentialing Analyst, medical billing service providers.Good Knowledge in Provider credentialing.Good knowledge in clearing house setup.Electronic Data Interchange setup (EDI).Electronic Remittance Advice Setup (ERA).Establish Insurance Portals (EFT).Experience in Insurance calling.Good knowledge in...

  • Junior Credentialing Coordinator

    5 days ago

    Mohali, Punjab, India i3synergist Full time ₹ 1,00,000 - ₹ 3,00,000 per year

    Job description:Credentialing SpecialistPreferred Experience: 3months to 2yearsIdeal candidate must have followed:Perform all new provider credentialing, existing provider recredentialing, and personal and demographic updates for providers and groups.Track all activities in the process of credentialing/recredentialing providers and clinics.Ensure that all...

  • Search Engine Optimization Specialist

    3 days ago

    Mohali, Punjab, India Roots Analysis Full time ₹ 4,00,000 - ₹ 6,00,000 per year

    About Roots AnalysisRoots Analysis is an industry leader in providing business research and competitive intelligence services. Having worked with over 750 clients worldwide, including Fortune 500 companies, start-ups, academia, venture capitalists and strategic investors for more than a decade, we offer a highly analytical / data driven perspective to a...

  • US Healthcare Talent Acquisition Specialist- Night Shift

    2 weeks ago

    Mohali, Punjab, India Amer Technology, Inc Full time ₹ 4,50,000 - ₹ 6,00,000 per year

    About Us:At Amer Technology, we specialize in providing top-tier staffing solutions for the healthcare industry, ensuring our clients receive highly qualified and compassionate healthcare professionals. We are looking for an experienced US Healthcare Recruiter to join our dynamic recruitment team, with a focus on sourcing, recruiting, and placing core...

  • Social Media Executive

    2 weeks ago

    Mohali, India SEO DISCOVERY Private Limited Full time

    **Social Media Executive Responsibilities**: - Training and supervising a cohort of social media specialists. - Creating written pieces that are sharp, memorable, and effective at prompting readers to take action. - Collaborating with Videographers and Multimedia Designers to ensure that posts are engaging. - Optimizing content for publication across...

  • Social Media Executive

    5 days ago

    Mohali, India SEO DISCOVERY Private Limited Full time

    **Social Media Executive Responsibilities**: - Training and supervising a cohort of social media specialists. - Creating written pieces that are sharp, memorable, and effective at prompting readers to take action. - Collaborating with Videographers and Multimedia Designers to ensure that posts are engaging. - Optimizing content for publication across...

  • Social Media Marketing Intern

    3 days ago

    Mohali, India SEO DISCOVERY Private Limited Full time

    Training and supervising a cohort of social media specialists. - Creating written pieces that are sharp, memorable, and effective at prompting readers to take action. - Collaborating with Videographers and Multimedia Designers to ensure that posts are engaging. - Optimizing content for publication across various social media sites. - Scheduling copy for...

  • Social Media Executive

    2 weeks ago

    Mohali, India Arcorp Consumers Pvt. Ltd Full time

    Urgent Opening For Fresher. - Training and supervising a cohort of social media specialists. - Creating written pieces that are sharp, memorable, and effective at prompting readers to take action. - Collaborating with Videographers and Multimedia Designers to ensure that posts are engaging. - Optimizing content for publication across various social media...

  • Social Media Marketing Executive

    2 weeks ago

    Mohali, India SEO DISCOVERY Private Limited Full time

    Training and supervising a cohort of social media specialists. - Creating written pieces that are sharp, memorable, and effective at prompting readers to take action. - Collaborating with Videographers and Multimedia Designers to ensure that posts are engaging. - Optimizing content for publication across various social media sites. - Scheduling copy for...

  • Automotive Industry Immigration Expert

    2 weeks ago

    Mohali, India AMK Global Group Ltd Full time

    Job Title: Automotive Industry Immigration Expert - AMK Global Location: [Insert Location] About AMK Global: AMK Global is a renowned immigration consultancy firm committed to providing comprehensive services to individuals and families seeking immigration solutions. With a dedication to excellence and a client-centric approach, AMK Global has earned a...

  • Automotive Industry Immigration Expert

    2 weeks ago

    Mohali, Punjab, India AMK Global Group Ltd Full time

    Job Title: Automotive Industry Immigration Expert - AMK Global Location: [Insert Location] About AMK Global: AMK Global is a renowned immigration consultancy firm committed to providing comprehensive services to individuals and families seeking immigration solutions. With a dedication to excellence and a client-centric approach, AMK Global has earned a...

  • ▷ (Immediate Start) Consultant

    3 weeks ago

    Mohali, Punjab, India PHFI Full time

    The Public Health Foundation of India PHFI is working towards building a healthier India It is helping to address the limited institutional and systems capacity in India by strengthening education and training advancing research and technology and facilitating policy and practice in the area of Public Health PHFI is headquartered in New Delhi with national...

  • (High Salary) Director

    2 weeks ago

    Mohali, India Nath Outsourcing Solutions Pvt. Ltd. Full time

    Job Title: Director of Operations - Revenue Cycle Management (RCM) Company: Nath Outsourcing Solutions Pvt. Ltd. (NOS) Location: Mohali Job Type: Full-time About Nath Outsourcing Solutions (NOS): NOS is a leading provider of end-to-end solutions for the US Healthcare Industry. Since 2003. Position Overview: We are seeking a strategic and results-driven...

  • Director - RCM Operation

    2 weeks ago

    Mohali district, India Nath Outsourcing Solutions Pvt. Ltd. Full time

    Job Title: Director of Operations - Revenue Cycle Management (RCM) Company: Nath Outsourcing Solutions Pvt. Ltd. (NOS) Location: Mohali Job Type: Full-time About Nath Outsourcing Solutions (NOS): NOS is a leading provider of end-to-end solutions for the US Healthcare Industry. Since 2003. Position Overview: We are seeking a strategic and results-driven...