6.0 - 10.0 years

0 Lacs

hyderabad, telangana

On-site

As a TL-Provider Credentialing with 6 to 8 years of experience in Healthcare Products and Revenue Cycle Management Credentialing, your role will involve various responsibilities to ensure compliance and efficiency in the credentialing process. You will have the opportunity to impact healthcare operations significantly. **Key Responsibilities:** - Oversee the provider credentialing process to ensure compliance with industry standards and regulations. - Coordinate with healthcare providers to gather necessary documentation for credentialing and re-credentialing. - Analyze and verify provider information to maintain accurate and up-to-date records. - Collaborate with internal teams to streamlin...

Posted 2 weeks ago

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Medical Provider Enrollment Specialist (Permanent Work-From-Home) Confidential Hires

5.0 - 7.0 years

0 Lacs

india

Remote

Medical Provider Enrollment Specialist (Permanent Work-From-Home) About the Role: We are seeking experienced Medical Provider Enrollment Specialists with a strong background in end-to-end Provider Enrollments, Insurance Credentialing, Provider Contracting, and ReCredentialing. This role is ideal for professionals who thrive in a remote work environment and are committed to maintaining clear communication with our credentialing team and clients. Attention to detail and the ability to flawlessly complete tasks within set deadlines are essential for this position. Key Responsibilities: Manage the full spectrum of provider credentialing and enrollment, including filing Letters of Interest and co...

Posted 1 month ago

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Process Specialist - HC Cognizant

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 months ago

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Credentialing Specialist EqualizeRCM Services

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 2 months ago

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Credentialing - Medical Billing Dentistry Billing & Consulting

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 3 months ago

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