Company: Fidelity Healthcare Receivables Management Pvt Ltd The Credentialing Specialist at Fidelity Healthcare Receivables Management Pvt Ltd is responsible for ensuring healthcare providers are properly credentialed with insurance companies and government agencies. This role plays a crucial part in the revenue cycle management process. Skills Required Strong attention to detail Knowledge of healthcare industry regulations Excellent communication skills Ability to multi-task and prioritize Responsibilities Review and verify provider credentials Submit and track credentialing applications Maintain accurate provider database Communicate with providers and payers regarding credentialing status Stay updated on credentialing guidelines and requirements
The role of a Credentialing Specialist based in Gurgaon, Sector-58, involves ensuring that all credentials provided by candidates are true and valid. You will be responsible for tracking the expiration of certificates and licenses, some of which may need renewal periodically. Maintaining compliance with insurance providers, medical regulatory bodies, and accrediting institutions is crucial. Your duties will also include record-keeping, updating the database with credentials, certifications, licenses, and insurance contracts. Additionally, you will handle initial credentialing and re-credentialing applications, as well as screen practitioners" applications and supporting documents to determine their eligibility. To qualify for this position, you must be a graduate with excellent written and oral communication skills. This is a Work from Office role with a fixed 5-day working schedule. The company provides both side cab facilities, one-time meal benefits, and health insurance coverage of Rs 5 lakh.,