Credentialing Specialist

Credentialing Specialist

• Assist in preparing and coordinating provider information with Onsite team.

• Verifying CAQH information and credentials supplied by Onsite team.

• On-floor support to the team – Query resolution and training

• Quality check, coaching and feedback to the junior team members.

• Prepare and submit all enrolment applications for commercial payers with supporting documentation

• Managing queries and correspondences from payers.

• Follow-up with insurance companies to ensure timely processing of applications.

• Maintaining the copies of licenses, DEA, malpractice insurance and other required documents.

• Assisting on client calls by updating them on the provider's credentialing status.

• Maintained and updated all practitioner databases.

• Efficiently credentialing of all providers in a timely manner.

Education & experience

• Graduation

• Min. 2-4 years of Credentialing experience (U.S. Healthcare) Knowledge, skills, & abilities

• Excellent written and verbal communication skills

• Proficient with MS Office and the ability to navigate multiple platforms

• Ability to learn Revenue Cycle Management workflows related to patient communication

• Strong customer service skills with the ability to resolve patient concerns

• Demonstrate soft skills to enhance patient experience

Benefits

• 5 days working
• Cab facility for females
• Subsidized meal on availing
• Lucrative incentives