Medical Credentialing Specialist

2 - 5 years

3 - 7 Lacs

bengaluru

Posted:2 days ago| Platform: Naukri logo

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Skills Required

medical insurance claims processing billing software quality control compliance medical billing communication and interpersonal skills healthcare

Work Mode

Work from Office

Job Type

Full Time

Job Description

We are looking for a highly skilled and experienced Medical Credentialing Specialist to join our team at beBeeMedicals. The ideal candidate will have 2-5 years of experience in medical credentialing or a related field.


Roles and Responsibility
  • Manage and process medical billing and claims for accurate and timely payment.
  • Verify patient information and insurance coverage against provider contracts.
  • Coordinate with providers, payers, and other healthcare professionals to resolve issues.
  • Maintain accurate records of medical billing and claims processing.
  • Identify and address potential denials and exceptions promptly.
  • Collaborate with the quality control team to ensure compliance with regulatory requirements.

Job Requirements
  • Strong knowledge of medical terminology and billing processes.
  • Excellent communication and interpersonal skills.
  • Ability to work effectively in a fast-paced environment with multiple priorities.
  • Proficient in using medical billing software and systems.
  • Strong analytical and problem-solving skills.
  • Ability to maintain confidentiality and handle sensitive information.

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