Profile Overview: Graduate with 1-3 years Benefit and Authorization Specialist (Verification of Benefits). Role focuses on obtaining necessary prior authorizations & Referrals from insurance companies. Maintain accurate records of requests and approvals. Familiarity with insurance processes and payer guidelines. Key Responsibilities: Manage correspondence with insurance companies, physicians, specialist, and patients as needed, including documenting in the EHR as appropriate. Receive requests for prior authorizations through the electronic health record (EHR) and/or via phone or fax and ensure that they are properly and closely monitored. Completes accurate and timely third party payer authorization requests, including ensuring all necessary data elements needed for an authorization (e.g., CPT codes, diagnosis codes) are available. Ensures services scheduled by outside providers have approved authorization as required Preferred candidate profile Perks and benefits

We're Hiring! Credentialing Specialist (Provider Enrollment) Credentials Location: Pune (On-site) Education: Graduate Experience: 1-5 years Skills: Credentialing, Insurance Eligibility, Provider Enrollment Key Responsibilities: Manage and update provider profiles on CAQH, PECOS, NPPES, and CMS databases. Track and maintain state DEA licenses, board certifications, and malpractice insurance expiration dates. Ensure accuracy and compliance in governmental and commercial payer credentialing applications. Monitor and maintain portal access for Managed Care Organizations, commercial payers, Medicare, and Medicaid. Collaborate with healthcare providers to ensure timely updates to CAQH database files as per CMS regulations. Coordinate credentialing, re-credentialing, and contracting processes with insurance companies. Why Join Us? Great Place to Work Certified™ in 10 countries! Recognized among Best Tech Brands 2024 by the Times Group. Named India’s Top 500 Value Creators 2023 by Dun & Bradstreet. A dynamic work environment with growth opportunities in healthcare compliance and credentialing. Apply Now! Send your CV to aditysingh@northcorp.tech For inquiries, contact: 9871237038