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 5 days ago

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Credential Specialist Dentaweb Services

2.0 - 6.0 years

0 Lacs

ahmedabad, gujarat

On-site

You will be responsible for monitoring staff credentials and licenses, advising staff on renewal procedures, and participating in the development of internal credentialing processes. Your duties will also include keeping records of licenses, credentials, and insurance contracts, filling initial applications, and submitting them to insurance companies to obtain staff credentials. Additionally, you will be communicating with insurance companies to address queries raised during the credentialing process until completion and managing the re-credentialing process before expiry. Qualifications required for this role: - Prior experience in back office operations within the medical/healthcare indust...

Posted 2 weeks ago

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