Medical Credentialing (US Healthcare)

Job Description

Summary Green Apples is looking for driven, dedicated and experienced Credentialing & Enrolment professionals, proficient in US healthcare, who are comfortable working in evening shift starting at 4pm IST. Noida based Company, currently working from home. Local candidates from Delhi-NCR only need to apply. Description Hiring multiple candidates with 1 year and more, hands-on working experience in Credentialling Candidates with minimum of 1 year experience in Credentialling & enrolment alone only need to apply. Should have knowledge base of end-to-end provider US healthcare credentialing. Should be able to work independently with minimum or no supervision. Should have experience in credentialing with Medicare, Medicaid, their HMOs and Commercial payers. Good experience n CAQH, PECOS application. Tracks expiration dates and maintains current state licenses, DEA certification, malpractice coverage and any other required documents for all providers. Malpractice coverage and any other required documents for all providers. Compiles information and sets up provider files Set up all ERA and EFT enrolments Completes initial provider credentialing applications, monitors applications and follows up as needed. Track all expired provider certification. Initiate re-credentialing application as requested by insurance companies. Collect all the data and documents required for filling credentialing application from the physicians/ clinics Store the documents centrally on our secure document management systems. Strong communication skills in English with a neutral accent. Detail-oriented with excellent follow-up abilities Proficiency in Microsoft office tools Ability to juggle multiple priorities successfully. Willingness to work in the evening shift Qualifications: Graduate/ Masters degree in the related field Capability to converse clearly and precisely with US clients and payers, credentialing department personnel, by phone and email Excellent computer skills Excellent command over English with excellent written and verbal communication skills Excellent management skills Excellent Analytical Skills. Perks and Benefits Perks and Benefits: As per industry standard