Process Associate (credentialing)

Year    PB, IN, India

Job Description

- Process initial credentialing and re-credentialing applications for healthcare providers, ensuring accuracy and completeness of documentation.

-Maintain detailed records in credentialing database and track upcoming renewals and expiration dates.

-Manage provider enrollments for Medicare and Medicaid across all states.

-Update and maintain CAQH, PECOS, and NPPES profiles for providers, ensuring timely attestations.

-Participate in weekly/biweekly client meetings to discuss application status and address concerns.

-Generate regular reports on credentialing activities, turnaround times, and pending items.

-Assist providers and staff with credentialing - related inquiries and resolution of issues.

-Follow up consistently on pending applications and outstanding documentations.

-Handle demographic updates and changes in provider information.

-Maintain organized digital files of all credentialing documentation.

Required Qualifications:



- Bachelor's degree or equivalent work experience

-2+ years of healthcare credentialing experience.

-Experience with Medicare/Medicaid enrollment across multiple states.

-Proficiency in credentialing software and provider enrollment portals.

-Strong attention to detail and organizational skills.

-Excellent communication skills for client interactions.

-Experience in conducting professional meetings and status updates.

Preferred



-Experience with multiple insurance payers.

-Knowledge of medical terminology and provider specialties

-Prior experience in handling client relationships.

Interested candidate can share their cv at @98889 98997/ Call directly on the given number

Job Type: Full-time

Pay: ?30,000.00 - ?40,000.00 per month

Benefits:

Flexible schedule Leave encashment Provident Fund
Schedule:

Rotational shift
Supplemental Pay:

Performance bonus
Experience:

total work: 1 year (Required)
Work Location: In person

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Job Detail

  • Job Id
    JD3652472
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Contract
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    PB, IN, India
  • Education
    Not mentioned
  • Experience
    Year