Credentialing Specialist

2 - 6 years

0 Lacs

Posted:1 day ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

As a Credentialing Analyst at our company, you will play a crucial role in ensuring the smooth functioning of medical billing services. Your responsibilities will include: - Working as a Credentialing Analyst for medical billing service providers. - Demonstrating good knowledge in Provider credentialing and clearing house setup. - Setting up Electronic Data Interchange (EDI) and Electronic Remittance Advice (ERA). - Establishing Insurance Portals (EFT) for efficient processes. - Handling Insurance calling and filling insurance enrollment applications. - Utilizing expertise in CAQH and PECOS applications. - Managing Medicare, Medicaid, and Commercial insurance enrollment. - Demonstrating a positive attitude towards problem-solving. - Generating aging reports as needed. Qualifications required for this role: - Excellent communication skills. - 2 to 4 years of experience in a similar role. - Prior experience with insurance enrollment applications. - Familiarity with Medicare, Medicaid, and Commercial insurance. - Ability to work with immediate joiners and flexible shift timings. Our company, located in Mohali, offers competitive salaries and additional facilities such as in-house meal and cab facilities, performance-based incentives, and a flexible work schedule of any 5 days in a week.,

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