Credentialing | U.S Healthcare R Systems

3.0 - 7.0 years

0 Lacs

pune, maharashtra

On-site

As a Credentialing Associate at R Systems, you will be responsible for managing the credentialing applications for US healthcare professionals with accuracy and timeliness. Your role will involve ensuring regulatory compliance, meticulous attention to detail, and effective multitasking to uphold provider records and meet industry standards. Conducting comprehensive background checks, validating licenses and certifications, and collaborating with internal teams to resolve credentialing issues will be key aspects of your responsibilities. It will also be essential to stay updated on healthcare regulations, contributing to the refinement of credentialing policies and procedures to optimize operational efficiency and ultimately enhance the quality of healthcare services by credentialing only qualified professionals. Your main duties will include overseeing credentialing processes to ensure alignment with industry and regulatory standards, reviewing and validating documents such as licenses, certifications, and employment history, and maintaining up-to-date provider information in credentialing databases. Monitoring credentialing status, expiration dates, and re-credentialing timelines through software tools, serving as the main point of contact for healthcare providers during the credentialing process, and collaborating with internal departments like HR and legal to guarantee compliance with credentialing requirements will also be part of your responsibilities. Additionally, you will conduct audits to identify areas for enhancement, prepare comprehensive reports on credentialing activities for leadership evaluation, keep abreast of state and federal regulations for compliance, and contribute to the development and implementation of credentialing policies aligned with best practices and organizational standards. If you possess the relevant experience for this role, we invite you to share your CV with us at naresh.arya@rsystems.com.,

Posted 2 days ago

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