to manage and maintain the credentialing process for healthcare providers. The ideal candidate will have hands-on experience in working with
Cigna, CAQH, Medicare
, and other healthcare networks, ensuring all provider credentials are up-to-date and compliant with regulatory standards.
Key Responsibilities:
Manage and process
provider credentialing and re-credentialing
applications accurately and within set timelines.
Work closely with insurance companies such as
Cigna, Medicare
, and other payers to verify provider participation.
Maintain and update provider profiles in
CAQH
and other credentialing databases.
Review and verify provider documents, licenses, certifications, and other credentials.
Communicate with providers to obtain necessary information or documentation.
Ensure compliance with
state, federal, and payer-specific
regulations and requirements.
Track credentialing progress and maintain detailed reports.
Coordinate with internal teams and insurance providers to resolve credentialing issues promptly.
Key Skills and Requirements:
Minimum
2 years of experience
in
healthcare credentialing (provider side)
.
Strong knowledge of
Cigna, CAQH, Medicare
, and payer credentialing processes.
Excellent communication and documentation skills.
Attention to detail and ability to manage multiple tasks efficiently.
Proficiency in MS Office tools and credentialing software systems.
Ability to work independently and as part of a team.
Employment Type:
Full-Time (Work from Office)
Job Type: Full-time
Pay: ₹35,000.00 - ₹55,000.00 per month
Work Location: In person
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