US Healthcare Credentialing specialist Digimedicus

2.0 - 6.0 years

0 Lacs

punjab

On-site

As a US Healthcare Credentialing Specialist, you will play a crucial role in ensuring the integrity and efficiency of provider credentialing processes. Your responsibilities will include: - Managing the credentialing process for healthcare providers, including physicians, nurses, therapists, and other allied health professionals. - Serving as a liaison between the organization and Credentialing Verification Organizations to ensure timely submission and verification of provider credentials. - Maintaining up-to-date provider information in credentialing databases and software systems. - Conducting audits and reviews of credentialing files to ensure compliance with internal policies and industr...

Posted 2 days ago

AI Match Score

Apply

HEALTHCARE CREDENTIALING SPECIALIST Skillra Technologies

1.0 - 5.0 years

0 Lacs

chennai, tamil nadu

On-site

The role involves managing the full-cycle credentialing and re-credentialing process for healthcare providers. This includes verifying and maintaining provider documentation, licenses, certifications, and affiliations. Coordination with insurance companies, hospitals, and healthcare organizations for provider enrollment is crucial. Compliance with NCQA, CMS, and other regulatory requirements must be ensured. It is essential to maintain accurate and up-to-date records in credentialing databases. Effective communication with providers regarding application status, missing information, or required updates is necessary. Additionally, supporting audits, reporting, and quality improvement initiati...

Posted 1 month ago

AI Match Score

Apply

Start Your Job Search Today

Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.