Openings For Credentialing Team Leader ( Provider credentialing )

Job Description

Role & responsibilities : Enrolls providers (individually or in groups) with Medicare, Medicaid, and all major private insurance payers. Verifies completeness and accuracy of application documents, coordinates with onshore team and payer support to obtain all necessary information. Promptly submits applications to ensure maximum reimbursement for all providers. Performs electronic funds transfer (EFT) and electronic remittance advice (ERA) enrollment for all providers, for all applicable payers. Compiles and maintains a list of provider participation (by payer). Identifies missing, incorrect, or expired credentials. Performs ongoing follow up with onshore team and payer support to ensure provider credentials remain correct and valid. Revalidates provider enrollment, based on frequency required by individual payers. Ensures team delivers quality service, in accordance with each clients Service Level Agreement (SLA) Encourages smooth daily operations, and maintains daily operations reports, as necessary. Monitors team productivity and provides guidance and motivation Delivers feedback on processes, workflows, and team productivity to Manager. Leads by example. Fulfills all compliance responsibilities related to the position, handles all protected health information in a manner consistent with Health Insurance Portability and Accountability Act (HIPAA) regulations Must be available for special projects Willing to work in Night shift ( Only Male candidates are eligible for this position ) If interested kindly share CV to 7358703376/nabdhulrahuman@health.saisystems.com Contact Person: Nainar Mohamed Contact Number: 7358703376