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EMP Claim Solutions Inc
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Credentialing Specialist

Credentialing Specialist

EMP Claim Solutions Inc

0 years

|

3 - 6 Lacs

Posted:3 days ago| Platform: GlassDoor logo

Apply

Skills Required

credentialing onboarding communication documentation collaborative compliance reports

Work Mode

On-site

Job Type

Full Time

Job Description

Respond promptly to credentialing-related emails and follow-ups within 24 hours.
Manage onboarding of new providers, including welcome communication, documentation, and source verification.
Handle Collaborative Agreements and update provider records in systems
Submit and track payor applications and rosters; ensure follow-ups with payors.
Allocate and prioritize tasks via CMD based on daily workload.
Maintain and update CAQH profiles every 120 days for active providers.
Conduct monthly OIG verifications and ensure compliance with client requirements.
Prepare regular reports on credentialing holds, provider onboarding status, and facility credentialing by payor.
Participate in weekly calls with internal stakeholders and clients.
Maintain and update SOPs related to credentialing.

Job Types: Full-time, Permanent

Pay: ₹25,000.00 - ₹50,000.00 per month

Benefits:

Health insurance
Leave encashment
Paid sick time
Provident Fund

Work Location: In person

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EMP Claim Solutions Inc

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