US Healthcare Provider Demographics

2 - 7 years

4 - 7 Lacs

Posted:None| Platform: Naukri logo

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Job Type

Full Time

Job Description

 
  1. Hands on experience in US Healthcare Provider Demographics, Contracting, Networks and Claims Adjudication Basics.
  2. Must have minimum 2 years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing
  3. Must have experience in getting providers setup with Insurance payers
  4. 2 - 5 Years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing.
  5. Knowledge of provider credentialing and its direct impact on the practices revenue cycle.
  6. Medicare or Commercial Claims basics and provider relationship related to claims adjudication
  7. Experience in Manual & Automation Testing planning & execution.
  8. Strong understanding of Software Testing methodologies.
  9. Experience with Test Management tools Rational Tool suite, JIRA.
  10. Working experience in Test Plan, Test Scripts and Test Result preparation, Status reporting.
  11. Strong communication skills.
Mandatory skills*
  1. US Healthcare Provider Demographics and Contracting
  2. Provider Plans and Networks
  3. Claims Adjudication Testing
Desired skills*
  1. US Healthcare Provider Demographics and Contracting
  2. Provider Plans and Networks
  3. Requirement Analysis, Test Planning, Test Scripting and Test Execution
  4. Good Communication skills for business connect with Client

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