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Manager / AM - Provider Credentialing (US Healthcare Medical Billing)

Manager / AM - Provider Credentialing (US Healthcare Medical Billing)

Rusan Medisys

10 - 12 years

0 Lacs

Coimbatore

Posted:3 days ago| Platform:

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Skills Required

PECOS application. CAQH Credentialing Enrollment Provider Credentialing Revenue Cycle Management Medicare US Healthcare EDI EFT ERA Credentialing calling credentialing applications Medicaid RCM

Work Mode

Work from Office

Job Type

Full Time

Job Description

Provider Credentialing (US healthcare medical billing) 1. Collect all the data and documents required for filing credentialing applications from the physicians 2. Store the documents centrally on our secure document management systems 3. Understand the top payers to which the practice sends claim and initiate contact with the payers 4. Apply the payer-specific formats after a due audit 5. Timely follow-up with the Payer to track application status 6. Obtain the enrolment number from the Payer and communicate the state of the application to the physician 7. Periodic updates of the document library for credentialing purposes. Required Candidate profile Desired Candidate Profile: 1. Should have worked as a Credentialing Analyst for at least 3-year medical billing service providers 2. Good Knowledge in Provider credentialing (Doctor side). 3. Good knowledge in clearing house setup - Electronic Data Interchange setup (EDI) - Electronic Remittance Advice Setup (ERA) - Establish Insurance Portals (EFT) 4. Experience in Insurance calling. 5. Good knowledge in filling insurance enrollment applications. 6. Good experience in CAQH, PECOS application. 7. Experience in Medicare, Medicaid, Commercial insurance enrollment. 8. Positive attitude to solve problems 9. Knowledge of generating aging report 10. Strong communication skills with a neutral accent Note: Minimum of 8 to 12 years of Provider Credentialing experience must. Location: Coimbatore (Onsite job) Preference will be given to candidates who can start immediately or with short notice. Candidates who are freshers or have experience in other domains are kindly requested not to apply for this position.

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Rusan Medisys

www.rusanmedisys.com

Medical Devices

New Delhi

51-200 Employees

6 Jobs

Key People

Dr. Ramesh Rao

Founder and CEO
Sita Sharma

Chief Technology Officer
Anil Kumar

Chief Financial Officer

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Manager / AM - Provider Credentialing (US Healthcare Medical Billing)