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Credentialing Quality Analyst

Credentialing Quality Analyst

Vuca Consulting

3 - 7 years

5 - 8 Lacs

thane pune mumbai (all areas)

Posted:2 weeks ago| Platform:

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Skills Required

us healthcare credentialing capa qa/qc hipaa quality audit qc inspection audit compliance caqh licensing auditing training sop quality quality compliance enrollment certification testing recredentialing quality assurance rcm malpractice claims processing quality control

Work Mode

Work from Office

Job Type

Full Time

Job Description

Conduct audits of provider credentialing,re-credentialing & enrollment applications/forms,CAQH profiles & related documentation
Validate provider credentials including licenses,certifications,malpractice insurance,education,work history & sanctions

Required Candidate profile

Exp Credentialing,Enrollment & US Healthcare processesAttention to detail & analytical mindsetFamiliarity with CAQH & other credentialing platformsUnderstanding of HIPAA & data privacy regulations

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Credentialing Quality Analyst