Credentialing Specialist -Voice process - Male Candidates (Night Shit)

2 - 5 years

0 Lacs

Posted:2 weeks ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Greetings From Augment Technology Solutions!

Credentialing Specialist -Voice process - Male Candidates (Night Shit)

Role & responsibilities

  • Enrolls providers (individually or in groups) with Medicare, Medicaid, and all major private insurance payers.
  • Should have exposure in handling

    PECOS

    and NPPES systems - Strong knowledge

    in CAQH

    application and Facilitate provider re-attestations of CAQH data as required by CAQH.
  • Verifies completeness and accuracy of application documents, coordinates with onshore team and payer support to obtain all necessary information. Promptly submits applications to ensure maximum reimbursement for all providers.
  • Performs electronic funds transfer (EFT) and electronic remittance advice (ERA) enrollment for all providers, for all applicable payers.
  • Identifies missing, incorrect, or expired credentials.
  • Performs ongoing follow up with onshore team and payer support to Compiles and maintains a list of provider participation (by payer). re provider credentials remain correct and valid.
  • Re validates provider enrollment, based on frequency required by individual payers.

Preferred candidate profile

Minimum 2 to 5 years of experience

2.Good Communication skills is required.

3. Worked in PECOS, NPPES & CAQH

4. Willing to work Night shift (6.30pm to 3.30 am)

5. Looking for Immediate joiners

Interview Process:

Level 1: Face to Face TL level Interview

Level 2: CEO Interview - Telephonic

Level 3: HR discussion

For more details call to

HR: 7305-991-117 Keerthana

Or Whats app your resume to 7305-991-117

Or email your resume to hr@atshealth.com

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Augment Technology Solutions logo
Augment Technology Solutions

Information Technology

Silicon Valley

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