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Process Specialist - HC

5 - 7 years

5 - 12 Lacs

Bengaluru

Posted:3 weeks ago| Platform: Naukri logo

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Skills Required

data analytics analytical us healthcare problem solving monitoring healthcare process improvements analytics re operations ar calling collaboration compliance denial management credentialing medical billing rcm revenue cycle management communication skills

Work Mode

Work from Office

Job Type

Full Time

Job Description

Job Summary We are seeking a Process Specialist with 5 to 7 years of experience in HealthCare Products. The ideal candidate will have expertise in Prov Privileges excl Hospital Demo Changes Credentialing and Re-credentialing. This hybrid role requires working night shifts and does not involve travel. The candidate will play a crucial role in ensuring the efficiency and accuracy of healthcare processes. Responsibilities Lead the implementation of healthcare product processes to ensure compliance with industry standards. Oversee the management of provider privileges excluding hospital settings. Provide expertise in handling demographic changes within healthcare systems. Ensure accurate and timely credentialing and re-credentialing of healthcare providers. Collaborate with cross-functional teams to streamline healthcare operations. Monitor and evaluate process performance to identify areas for improvement. Develop and maintain documentation for healthcare processes and procedures. Train and mentor team members on best practices and process improvements. Conduct regular audits to ensure adherence to regulatory requirements. Utilize data analytics to drive decision-making and enhance process efficiency. Communicate effectively with stakeholders to address process-related issues. Implement process changes to improve patient care and operational efficiency. Support the development and execution of strategic initiatives in healthcare operations. Qualifications Possess a strong background in healthcare products and processes. Demonstrate expertise in provider privileges excluding hospital settings. Have experience in managing demographic changes within healthcare systems. Show proficiency in credentialing and re-credentialing of healthcare providers. Exhibit strong analytical and problem-solving skills. Display excellent communication and collaboration abilities. Certifications Required Certified Provider Credentialing Specialist (CPCS)

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Cognizant
Cognizant
www.cognizant.com

IT Services and IT Consulting

Teaneck New Jersey

10001 Employees

2577 Jobs

    Key People

  • Brian Humphries

    CEO

  • Gina Schaefer

    CFO

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