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

Saisystems Health

2 - 6 years

2 - 4 Lacs

chennai

Posted:1 week ago| Platform:

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Skills Required

credentialing claims medicare enrollment provide enrollment us healthcare medicaid

Work Mode

Work from Office

Job Type

Full Time

Job Description

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.
Compiles and maintains a list of provider participation (by payer). Identifies missing, incorrect, or expired credentials.
Performs ongoing follow up with onshore team and payer support to ensure provider credentials remain correct and valid.
Revalidates provider enrollment, based on frequency required by individual payers.
Consistently exhibits behavior and communication skills that demonstrate Sai Systems core values, and commitment to quality and customer service.
Fulfills all compliance responsibilities related to the position, handles all protected health information in a manner consistent with Health Insurance Portability and Accountability Act (HIPAA) regulations
Must be available for special projects.

Contact Person & Number : Y Mohammad Asif , 9342840498.

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