Credentialing Specialist/ Credentialing Analyst/ Credentialing

4 days ago

Bengaluru, Karnataka, India Getix Health Full time ₹ 9,00,000 - ₹ 12,00,000 per year

Required Candidate profile

2+ years experience in US Healthcare Revenue Cycle Management.

Should have an experience in Provider Enrollment/Credentialing.

Good understanding and working experience of End-to-End Claim Resolution model.

Excellent interpersonal, verbal, and written communication skills

Demonstrate ability to work in challenging and changing work environments and apply methodologies to best-fit solutions.

Job description

Continual development to be an expert with knowledge of respective clients Credentialing specialties.

Report any system downtime to respective Supervisors and manage the work in such situations.

persuasively; provides clarification; responds well to questions; participates in and contributes to meetings.

Follows policies and procedures; Completes tasks correctly and on time; Supports organization's goals and values.

Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Willing to put in the necessary time to accomplish goals.

Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.

Provide trend analysis of issues and solutions to the Supervisors.

Ensure complete adherence to TAT and SLAs as defined by the client.

Maintain patient confidentiality and strict adherence to HIPAA.

Attending meetings and training to enhance Credentialing knowledge.

Ability to manage the day-to-day activities.

Role: Credentialing Specialist

Employment Type: Permanent

Shift: Night Shift

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