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4.0 - 8.0 years
0 Lacs
hyderabad, telangana
On-site
You are a Process Specialist with 4 to 5 years of experience in HealthCare Products. Your expertise lies in Prov Privileges excluding Hospital Demo Changes Credentialing and Re-credentialing by Calls. In this role, you will work in a hybrid model including night shifts, ensuring the smooth operation of healthcare processes to enhance overall efficiency and effectiveness of services. Your responsibilities will include overseeing the management of healthcare products for compliance with industry standards, maintaining accurate provider information, managing demo changes, handling credentialing and re-credentialing processes, collaborating with departments for process streamlining, conducting a...
Posted 2 weeks ago
2.0 - 4.0 years
2 - 5 Lacs
mysore/ mysuru, coimbatore
Hybrid
Greetings from EqualizeRCM Role : Credentialing Specialist Roles and Responsibility : Should have experience in complete Provider Credentialing process. Should be familiar with the payor and their procedure to enroll provider. Should have experience in completing Applications/Request/CAQH without any Errors. Should have experience in Calling/Sending Emails/Sending Fax to payor for Credentialing Status of a Provider. Flexible to work for US Shifts *************************************************************************************************** Are you ready to take your career to the next level? Exciting Work from Home Opportunity! We're looking for talented candidates to join our dynamic t...
Posted 4 weeks ago
0.0 - 4.0 years
0 Lacs
ghaziabad, uttar pradesh
On-site
The Credentialing Specialist role involves managing the credentialing and recredentialing process for healthcare providers. You will be responsible for ensuring timely submission of documentation, compliance with regulatory requirements, verification of qualifications, and coordination with insurance companies. Collaboration with the billing team is crucial to resolve issues, track credentials, and support providers in the credentialing process. Continuous improvement of procedures and staying updated on industry trends are key aspects of this role. This position requires familiarity with credentialing software and/or healthcare management systems. A strong understanding of HIPAA compliance ...
Posted 1 month ago
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