Certified Credentialing Specialist

6 days ago

Hyderabad Telangana India ClinicMind Full time ₹ 5,00,000 - ₹ 15,00,000 per year

ClinicMind, the nation's leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a full-time Credentialing Specialist. If you're excited to be part of a winning team, ClinicMind is a perfect place to get ahead.

 

RESPONSIBILITIES

Handle credentialing needs for our clients (Group and/or Individual) who are US-based health care providers, diagnostic laboratories and medical facilities as preferred providers in health care networks. This entails the following tasks:

Perform credentialing work:Collect all the required documentation for credentialing such as accreditation, membership and facility privileges (e.g., License, NPI letter).Assist providers with completing payer forms and ensure compliance with payer's expectationsRespond to provider's inquiries as to credentialing process progressAlert client of new regulations, expiring certificates, reapplications and deficiencies in credentialing requirementsMaintain accurate and current client information using an online databaseDrive the implementation of the automated credentialing workflow management system:Provide requirements to software developersReview implementation 

QUALIFICATIONS

  1. At least 2 years experience in US-based Credentialing process
  2. Familiar with US medical insurance industry 
  3. Excellent listening, communication, and problem-solving skills
  4. Self-motivated and able to work autonomously
  5. Credentialing certification is required

MUST HAVE:

  1. High comfort level working on Eastern Time Zone/US Shift
  2. Good internet access at home
  3. Mobile Hotspot
  4. Laptop/Desktop of at least 8 GB

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