2 - 6 years
1 - 2 Lacs
Posted:None|
Platform:
Work from Office
Full Time
*Prepare and process credentialing applications.
*Ability to perform in-depth research to determine the correct action needed.
*Ensure validating panel availability and work on any deficiencies are addressed within a timely manner.
*Maintain up to date records and log(s) by checking application status online or over the phone. *Timely follow-up on submitted applications via phone call/email with the payer for approval *Develop SOPs/ process documents to ensure seamless KT when required
*QA should have experience in Online & Offline payer application (Medicare, Medicaid & Commercial) and to validate the status till approval. Skills to audit online applications.
*QA should have experience in payer connect (to obtain status, initial verification and ability to resolve complex scenarios)
*Experience in insurance guidelines.
*Good knowledge in Payer Contract copy, fee schedule negotiation.
*Knowledge in Revalidation, Recredentialing and Reenrollment
*Handle credentialing related denials (AR).
Sharmila/Joshua
Call: 9240258183/ 9240258187 WhatsApp: 9840966922/ 9600707941 Email: recruitment@asprcmsolutions.com
Asprcm Solutions
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