Role Description
This is an on-site, full-time role for a Credentialing Executive based in Dwarka. The Credentialing Executive will be responsible for managing and maintaining provider credentialing and enrollment processes. Key responsibilities include gathering and verifying practitioner information, completing applications for insurance plans, managing re-credentialing efforts, ensuring compliance with credentialing standards, and maintaining accurate records. The role also involves liaising with healthcare providers, insurance companies, and regulatory bodies to resolve credentialing issues and ensure timely approvals.
Qualifications
- Proficiency in Credentialing and Re-Credentialing processes and familiarity with insurance payer enrollment
- Strong organizational skills including accurate record-keeping and documentation
- Effective communication and problem-solving skills when liaising with providers, payers, and regulatory representatives
- Attention to detail and the ability to ensure compliance with industry and regulatory standards
- Working knowledge of medical billing and RCM processes is a plus
- Proficient in MS Office Suite and other related credentialing software
- 1years of experience in credentialing.
- Bachelor's degree in Healthcare Administration, Business, or another relevant field is preferred
