Associate- Credentialing
- Uttar Pradesh
- Permanent
- Full-time
- A safe digital application and a structured and streamlined onboarding process.
- An extensive group health and accidental insurance program.
- Our progressive transportation model allows you to choose: You can either receive a self-transport allowance, or we can pick you up and drop you off on your way from or to the office.
- Subsidized meal facility.
- Fun at Work: tons of engagement activities and entertaining games for everyone to participate.
- Various career growth opportunities as well as a lucrative merit increment policy in a work environment where we promote Diversity, Equity, and Inclusion.
- Best HR practices along with an open-door policy to ensure a very employee friendly environment.
- A recession proof and secured workplace for our entire workforce.
- Ample scope of reward and recognition along with perks like marriage gift hampers and gifts for birth of a child.
- Should have working experience in US Healthcare -Credentialing Process-Payer and Provider Processes.
- Ensure credentialing processes are following professional standards, bylaws, state and federal regulatory requirements.
- Oversee day-to-day operational credentialing and privileging activities. Collaborating with the Credentialing Manager to ensure proper functioning of activities, policies, and procedures.
- Acting as a resource and subject matter expert, resolving issues, Coordinating with Credentialing contacts regarding the credentialing process.
- Verifying primary source data, such as provider education, board certifications, licensure, and other eligibilities /documents.
- Ensuring timely credentialing and re-credentialing of network providers and working with Internal/External Team to ensure credentialing files completed within timeframe and compliance.
- Calling Payers for Enrollment application status and take necessary action.
- Minimum of 2 years of experience as a Credentialing in US RCM industry.
- Should have knowledge in CAQH modules, provider enrollment. Overall, should be expertise with CAQH.
- Candidate should be a graduate.
- Basic knowledge about Internet Concepts, Windows, Micorsoft ,Adobe products.
- Should possess strong documentation and presentation skills.
- Should be flexible to work in shifts, based on business need.