Credentialing specialist
Job Description
Credentialing Specialist will work with the credentialing team in the United States to help physicians, medical practices, and healthcare organizations with credentialing and enrollment. The roles and responsibilities include:
Track and follow up with providers for timely return of all required credentialing documents and applications
Assist in synchronization of data among multiple systems
Maintain credentialing database and ensure up-to-date tracking of application process
Document progress in project management software, and provide regular updates to management
Work with commercial and governmental payers for credentialing and enrolment of multiple provider specialties and facility types
Stay up to date on licensing, verification, and state specific rules and bylaws to maintain compliance
Display in depth knowledge of and execution of all standard operating procedures (SOP's) as well as communicating issues, trends, concerns, and suggestions to management
Perform other duties as assigned
Job Requirements
Strong knowledge of the US healthcare landscape
Basic medical billing and payer network skillset required
Thorough knowledge of CAQH, with ability to document and prepare applications for healthcare providers
Intermediate knowledge of provider hospital credentialing and hospital admitting privileges
Ability to plan, prioritize, and complete work to meet established objectives
Highly proficient with computers, especially Word and Excel
Excellent written and oral English communication skills
Positive attitude and an outgoing personality
Ability to work night shifts
Experience : More than 1 years' experience in provider credentialing and enrolment
Qualification : B. E. / B. Tech with relevant work experience required
Shifts : Night Shift (6:30 pm – 4:00 am) Monday to Friday
Salary : Commensurate with experience
Work Location : A303, Bestech Business Tower, Sector-66, Mohali, Punjab
Bikram Gill - HR Director
Email: b ikram@
Phone:
