Credentialing Specialist

Company Description

Altermed RCM is a full-service medical billing and credentialing company dedicated to assisting healthcare providers, clinics, hospitals, and telemedicine practices in optimizing operations and achieving compliance. Our comprehensive solutions, including credentialing, provider enrollment, medical billing, and revenue optimization, are tailored to reduce administrative work and enhance cash flow for healthcare providers. With dedicated teams in New Jersey (USA) and India, we aim to deliver accuracy, efficiency, and cost-effective solutions to healthcare organizations of all sizes. We serve a wide range of industries, from individual physicians to large hospital networks, ensuring excellence at every stage of the revenue cycle. At Altermed RCM, we prioritize streamlining processes, maximizing reimbursements, and maintaining 100% compliance with regulatory standards.

Role Description

This is a full-time, on-site role for a Credentialing Specialist located in Chandigarh. The Credentialing Specialist will be responsible for managing the end-to-end credentialing process, including initial provider credentialing, payer enrollments, and recredentialing. The role involves maintaining accurate provider information, ensuring compliance with regulatory requirements, updating CAQH and other databases, and coordinating with insurance payers. The specialist will work closely with both internal teams and external parties to ensure thorough and timely execution of all credentialing-related tasks.

Qualifications

• Proficiency in Credentialing, Medical Staff Credentialing, and handling Medicare processes
• Strong Communication and Customer Service skills for effective coordination and problem-solving
• Attention to detail and familiarity with compliance and regulations in the healthcare sector
• Ability to work collaboratively within a team and liaise with insurance payers, providers, and stakeholders
• Experience with credentialing and enrollment workflows in the healthcare industry