Provider credentialing

Role Summary:

This job takes the lead in providing effective team handling and timely delivery of assigned task and required a strong knowledge in denial management, Trend analysis and should be an expert in reports management and process analytics and a proven job knowledge in Hospital Billing.

JOB SUMMARY

This job gives an opportunity to work in a challenging environment to deliver high quality Solutions to meet the demands for our Global Customer. An ideal candidate should have experience in Hospital Billing and Denial Management. The candidate should be able to lead & own the Development of any Technical deliverables assigned to him\her & thereby delivering high quality & Innovative solutions for the client. Should be an excellent Team player & have excellent Problem solving & communication skills

ESSENTIAL RESPONSIBILITIES

• Monitors files to ensure completeness and accuracy.
• Review all file documentation for compliance with quality standards and relevant policies.
• Prepare and provide information to client based on their expectation.
• Identifies and recommends improvements to workflows and processes to improve accuracy and efficiency.
• Specialized knowledge on Microsoft Excel required to perform daily inputs, building functions, sorting, and filtering large amounts of data.
• Adhere to all company and department policies regarding security and confidentiality.
• Interpret data using analytics, research methodologies, and statistical techniques.

EDUCATION

Required

• Should be a Graduate in any Stream
• Flexible to work from Office all 5 days in the week

EXPERIENCE

Required

• 3 - 5 Years of Provider Credentialing Experience

Preferred

• Through knowledge of working on Provider Credentialing
• Added advantage of working on CAQH, Cactus and Acorn
• Must be extremely detail oriented and able to multitask
• Possess a high level of Self-motivation and energy with minimal supervision
• Highly developed oral and written communication skills
• Ability to work both independently and in a team-oriented environment.
• Possess good organizational skills and strong attention to detail.
• Work in a standard protocols/documents to accurately complete the work assigned.
• Consistently document work assignment, enrollment follow up status, and relevant in-process tasks within the specified systems and time frames
• Should develop knowledge about payor policies
• Develop the team's talent, drive employee retention and engagement.