Credentialing Specialist

Job Description

Role & responsibilities Getting providers/physicians enrolled and contracted with payers. Maintenance and recredentialing requirements of the providers. Tracking and updating credentialing related information. Sharing updates with clients & management for all credentialing updates Preferred candidate profile Minimum 2- years experience is required in Medical Billing and/or Account Receivables for US Healthcare mandatory. Should have worked as a credentialing analyst for at least 1 year of medical billing service providers. Should have end to end provider US healthcare credentialing. Should have experience in CMS 855I, 855R. Tracks expiration dates and maintains current state licenses, DEA certification, malpractice coverage and any other required documents for all providers. Malpractice coverage and any other required documents for all providers. Compiles information and sets up provider files in verity credentialing system. Maintains verity credentialing software to ensure information is accurate and up to date. Completes initial provider credentialing applications, monitors applications, and follows up as needed. Track all expired provider certification. initiate re-credentialing application as requested by insurance companies. Collect all the data and documents required for filling credentialing application form the physicians. Store the documents centrally on our secure document management systems. Understand the top payers to which the practice sends claims and initial contract with the payers. Good experience in CAQH, PECOS application. Knowledge of all provider enrollments related portals and navigation. Experience in Medicare, Medicaid, Commercial payer enrollment process. Strong communication skills with a neutral accent. Proficiency in Microsoft office tools Willingness to work the night shift Education and Experience - Graduation completed - 3+ Years with minimum 1 year in credentialing for US Healthcare Providers. Perks and benefits Free cab facility to female employees all statutory benefits friendly environment work life balance please share your resumes to hiring@medrcm360.com, ta@medrcm360.com, careers@medrcm360.com and WhatsApp the resumes or call us to +91 7416630188, +917386430588, 7416630788.