Credentialing Executive

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 commercial insurances. Qualifications required for this role include: - A Bachelor's degree in any discipline. - Minimum of 1 to 3 years of experience working in healthcare credentialing, preferably in a medical billing or revenue cycle management setting. - Managing all aspects of the provider enrollment and credentialing process, including initial applications, re-credentialing, and maintaining provider information in all necessary systems. - Excellent communication skills in English, both written and oral. - Willingness to work the night shift (any 9 hours between 6:30 pm to 3:30 am). Please note that the salary for this position will be as per company policy.,