5 Insurance Credentialing Jobs

The position involves managing medical billing and accounts receivable, insurance credentialing, eligibility verification, claim denials and appeals, patient communication, compliance, documentation, reporting, and analysis. You will be responsible for processing and reviewing medical claims, following up with insurance companies and patients on outstanding balances, and managing insurance credentialing processes. Additionally, you will verify patient insurance coverage, assist patients with understanding their benefits, and investigate and resolve denied claims through appeals. You must ensure compliance with healthcare regulations, maintain accurate billing documentation, and stay updated on changes in regulations and billing practices. Furthermore, you will assist in preparing financial reports related to billing and collections for the management team. The required qualifications for this position include a high school diploma or equivalent, with an Associate's or Bachelor's degree in Healthcare Administration or a related field preferred. You should have 2-3 years of experience in medical billing, accounts receivable, or healthcare finance, along with familiarity with medical insurance carriers, claims processing, and eligibility verification procedures. Proficiency in medical billing software and electronic health record systems is essential, as well as knowledge of insurance terminology, coding, and regulatory guidelines. Desired skills include previous experience in insurance credentialing, provider enrollment, handling complex billing inquiries, and proficiency in Microsoft Office Suite. The work environment is primarily office-based, with potential for remote work based on organizational policies. The compensation is competitive and includes benefits. The job type is full-time, with a Monday to Friday schedule, including night shifts and US shifts. The work location is in person.,

Huge HIRING Experienced Provider Enrollment of US Healthcare Openings at Advantum Health, Hitech City, Hyderabad. Desired profile Must have minimum 9 years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing Must have experience in getting providers setup with Insurance payers 3 plus Years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. Should have experience in handling team of 25 to 100 employees Knowledge of provider credentialing and its direct impact on the practices revenue cycle. Should be willing to work in US Shift. (5:30 PM to 2:30 AM). Whatsapp your resume to 9059683624, 7382307530, 8247410763 Address: Advantum Health Pvt Ltd, Cybergateway, Block C, 4th Floor, Hitech City, Hyderabad Location: https://goo.gl/maps/yVe5kkAcv9Ers3mr8 Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance Follow us on LinkedIn, Facebook and Instagram for all updates: Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india HR Dept Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9059683624, 9100337774, 7382307530, 8247410763

Huge HIRING Experienced Provider Enrollment QA of US Healthcare Openings at Advantum Health, Hitech City, Hyderabad. Desired profile Must have minimum 5 years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing Must have experience in getting providers setup with Insurance payers Must have one year experience as QA 3 - 5 Years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. Knowledge of provider credentialing and its direct impact on the practices revenue cycle. Should be willing to work in US Shift. (5:30 PM to 2:30 AM). Good typing skills with a speed of min 30-35 words /min. Whatsapp your resume to 9059683624, 7382307530, 8247410763 Address: Advantum Health Pvt Ltd, Cybergateway, Block C, 4th Floor, Hitech City, Hyderabad Location: https://goo.gl/maps/yVe5kkAcv9Ers3mr8 Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance Role & responsibilities: Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications. Maintain internal provider grid to ensure all information is accurate and logins are available. Update each providers CAQH database file timely according to the schedule published by CMS. Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid etc. Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to provider credentialing. Maintain accurate provider profiles on CAQH, PECOS, NPPES, Payer directory and CMS databases. Maintain strict confidentiality in accordance with HIPAA regulations and company policy Meeting daily/weekly and monthly targets set for an individual. Follow us on LinkedIn, Facebook and Instagram for all updates: Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india HR Dept Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9059683624, 9100337774, 7382307530, 8247410763

Huge HIRING Experienced Provider Enrollment of US Healthcare Openings at Advantum Health, Hitech City, Hyderabad. Desired profile Must have minimum 2 years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing Must have experience in getting providers setup with Insurance payers 2 - 5 Years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. Knowledge of provider credentialing and its direct impact on the practices revenue cycle. Should be willing to work in US Shift. (5:30 PM to 2:30 AM). Good typing skills with a speed of min 30-35 words /min. Whatsapp your resume to 9059683624, 7382307530, 8247410763 Address: Advantum Health Pvt Ltd, Cybergateway, Block C, 4th Floor, Hitech City, Hyderabad Location: https://goo.gl/maps/yVe5kkAcv9Ers3mr8 Location : Hyderabad Work from office Shift: Night Shift (5.30pm to 2.30am) Salary upto 50k Per Month. One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance Role & responsibilities: Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications. Maintain internal provider grid to ensure all information is accurate and logins are available. Update each providers CAQH database file timely according to the schedule published by CMS. Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid etc. Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to provider credentialing. Maintain accurate provider profiles on CAQH, PECOS, NPPES, Payer directory and CMS databases. Maintain strict confidentiality in accordance with HIPAA regulations and company policy Meeting daily/weekly and monthly targets set for an individual. Follow us on LinkedIn, Facebook and Instagram for all updates: Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india HR Dept Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9059683624, 9100337774, 7382307530, 8247410763

Greetings from Intellisight India Pvt !!!!!!!!!!!!!!!!!!!! We have huge Job openings for Credentialing Specialists Responsibilities of a Credentialing Specialist Create and maintain licensing, credentials, and insurance records Conduct research on updated state and federal regulations and policies Release of information to requesting agencies and public inquiries when required by law Help develop internal provider credentialing processes Monitor license and credential expiration dates and advise staff members of required renewal by dates Ensure the facility and staff members are maintaining compliance with regulatory and accrediting institutions. Preferred Candidate Profile: 1 to 6 years of experience as a Credentialing Specialist in US healthcare. Strong understanding of healthcare concepts and denial management. Comfortable with fixed night shifts (6PM to 3AM) with transportation provided one way. Immediate joiners preferred. Perks and benefits : Best in Industry Monthly incentives Annual appraisals Saturday and Sunday are weekends off Quarterly Cash Rewards Company Description Intellisight India Pvt. Ltd. is a leading healthcare management company specializing in revenue cycle management solutions. Our primary goal is to optimize revenue and ensure compliance by leveraging high-end technology and personnel working together in an efficient and cost-effective manner. We have been providing exceptional services to a captive client in Cardiology, GI, and Surgical Center for the past 21 years, taking care of US medical billing and insurance-related activities. Intellisight is a one-stop solution center dedicated to allowing our clients to focus on providing healthcare while we handle their medical billing and related activities, resulting in reduced operating costs, increased revenues, and improved efficiency.