Credentialing Specialist – Job Description Position Overview: We are looking for experienced Credentialing & Enrollment Specialists who have experience in the end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. Specialists applying for this role must be extremely comfortable working nightshift and be willing to make extra efforts to communicate/engage with our credentialing team. This position requires complex levels of organizational skills and the ability to complete assigned tasks within the allotted time to do so. Must have: • Minimum of 2-3 years’ experience in provider credentialing and enrollment • Must have expertise in filing Letters of Interest, enrollment applications from all states, and engaging with payers via calls and/or emails, as well as ensuring conclusions for both individual and group application types. • Must have a working knowledge of documents required for both individual and group applications and the ability to submit them flawlessly for private commercial, Medicare, and Medicaid payors as well as Medicaid MCO and Medicare supplement/replacement plans. • Must have the ability to engage with clients, keeping them updated on a regular basis and also ensuring maintenance of active status with payers. • End-to-end working knowledge of creating and maintaining provider details on CAQH, PECOS, Availity, Navinet, NPPES, and other provider portals. • Be able to apply for and renew as needed all provider licenses; Professional, DEA, Controlled Substance, etc. • Ensure client and application data is updated and maintained continuously to share with clients when needed at a moment's notice. • Job Type: Full-time • Salary: Best in the Industry based on skills Show more Show less
Company Description Probe Practice Solutions is a healthcare management company dedicated to improving practice efficiencies and enhancing profitability. Our services enable healthcare practices to focus on patient care while we handle administrative tasks. Probe is committed to providing top-notch support that allows practices to thrive in an ever-evolving healthcare environment. Role Description This is a full-time on-site role for an Authorization Specialist, located in Mysore. The Authorization Specialist will be responsible for obtaining prior authorizations for medical procedures and services, verifying patient insurance coverage, and ensuring all necessary documentation is submitted accurately and promptly. Additional responsibilities include maintaining communication with healthcare providers, insurance companies, and patients to resolve any authorization issues and facilitating a smooth authorization process. Qualifications Experience in obtaining prior authorizations and knowledge of medical billing and coding Strong organizational and time management skills Excellent communication skills, both verbal and written Attention to detail and ability to work in a fast-paced environment Proficiency in using medical billing software and other relevant technology Ability to work collaboratively with a team and independently Previous experience in a healthcare administration role is advantageous Life science Graduates and additional certification in healthcare administration is a plus
Company Description Probe Practice Solutions specializes in providing customized Revenue Cycle Management solutions for independent medical practices. We offer comprehensive services to address the challenges faced by practices, ensuring efficient revenue management amidst evolving industry regulations. Our approach is marked by well-trained teams, experienced staff, a strong commitment to data security, and a focus on aligning services with each practice's culture for optimal results. Role Description This is a full-time on-site role for an AR Executive located in Mysore. The AR Executive will be responsible for managing the Revenue Cycle process, including claims submission,denial management, and AR follow-up. This role involves regular interaction with insurance companies, and internal stakeholders to ensure timely and accurate revenue collection. Qualifications Experience in Revenue Cycle Management, Claims Processing, and Denial Management Proficiency in medical billing software and knowledge of medical coding Strong analytical and problem-solving skills Excellent communication and interpersonal abilities Attention to detail and ability to work in a fast-paced environment Knowledge of insurance regulations and reimbursement processes Bachelor's degree in Healthcare Administration, Business, or related field