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Credentialing Executive Shukla Information Solutions Pvt Ltd

1.0 - 5.0 years

0 Lacs

ahmedabad, gujarat

On-site

In this role, you will be responsible for managing credentialing for healthcare providers to ensure accurate and timely processing. Your key responsibilities will include: - Verifying provider credentials, licenses, and certifications for compliance. - Coordinating with insurance companies to enroll providers and resolve any enrollment issues. - Maintaining and updating provider information in the RCM system. - Monitoring enrollment statuses and tracking changes in insurance plans and regulations. - Maintaining accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases. Additionally, you should have excellent knowledge in Group Medicare and Medicaid Enrollment/Contracts along with c...

Posted 3 days ago

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