Credentialing Specialist (Healthcare / Provider side) Night Shift XpressEdu

2.0 - 6.0 years

0 Lacs

chennai, tamil nadu

On-site

As a Healthcare Credentialing Executive (Provider Side) in Chennai with a salary of up to 6 LPA, your role involves managing and maintaining the credentialing process for healthcare providers. Your experience in working with Cigna, CAQH, Medicare, and other healthcare networks will be crucial in ensuring that 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. - Maintain and update provider profiles in CAQH and other credentialing databases. - Review and verify provider documents, licenses, certifications, and other credentials....

Posted 3 days ago

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Credentialing Specialist || Immediate Joiners || Noida Provana

2.0 - 6.0 years

2 - 6 Lacs

noida

Work from Office

Please share cv @ shikha.nillay@provana.com or ping me @ 7678565526 Key Responsibilities: Credential Verification: Conduct primary source verification of education, licenses, certifications, and work history. Perform background checks including criminal records and disciplinary actions. Compliance & Regulation: Ensure compliance with NCQA, CMS, The Joint Commission, and other regulatory bodies. Monitor expiration dates and initiate timely renewals of credentials. Documentation & Database Management: Maintain accurate records in credentialing software (e.g., CAQH, PECOS, NPPES). Track and update provider profiles and credentialing logs. Communication & Coordination: Liaise with providers, pay...

Posted 1 month ago

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Credentialing Specialist || WalkIn || Immediate Joiners || Noida Provana

2.0 - 6.0 years

2 - 6 Lacs

noida

Work from Office

Key Responsibilities: Credential Verification: Conduct primary source verification of education, licenses, certifications, and work history. Perform background checks including criminal records and disciplinary actions. Compliance & Regulation: Ensure compliance with NCQA, CMS, The Joint Commission, and other regulatory bodies. Monitor expiration dates and initiate timely renewals of credentials. Documentation & Database Management: Maintain accurate records in credentialing software (e.g., CAQH, PECOS, NPPES). Track and update provider profiles and credentialing logs. Communication & Coordination: Liaise with providers, payers, and internal departments to resolve discrepancies. Respond to i...

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Payment Posting Specialist | RCM Glorious Hr Services

1.0 - 6.0 years

5 - 5 Lacs

Pune

Work from Office

Hiring: Payment Posting (Provider Side) Location: Pune CTC: Up to 5.5 LPA Shift: US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced Payment Posting professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility : Experience: Minimum 1 year in Payment Posting (Provider Side) Qualification: Any Key Skills: Payment Posting Denial Management & Resolution RCM Cycle Physician / Provider Billing Prior Authorization Cash Posting & Charge Entry How to Apply? Contact: Chanchal 9251688424

Posted 3 months ago

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US Healthcare | RCM Glorious Hr Services

1.0 - 6.0 years

5 - 5 Lacs

Pune

Work from Office

Posted 3 months ago

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