Senior Executive – Credentialing
Credence Global Solutions —Pune, Maharashtra
- Full-time
- Data entry
- Communication skills
Analytics Practitioner
Accenture —Pune, Maharashtra
- Full-time
- Machine learning
Web Developer
Accenture —Pune, Maharashtra
- Full-time
- JavaScript
- Scripting
- APIs
Project Control Services Practitioner
Accenture —Pune, Maharashtra
- Full-time
- Analysis skills
- Project management
- Budgeting
13d
AWS Solutions Architect
Persistent —Pune, Maharashtra
- Full-time
- Hybrid work
- Computer Science
- Java
- Master's degree
- Flexible schedule
20h
Cloud Infrastructure Engineer
Qodequay Technologies Pvt ltd —Pune, Maharashtra
- ₹4,00,000 - ₹8,00,000 a year
- Full-time
- Azure
- Computer Science
- English
Quick apply
9d
Senior Manager, Customer Experience
QAD, Inc. —Pune, Maharashtra
- Full-time
- Hybrid work
- Management
- ERP systems
- Windows
Quick apply
2d
Security Managed Services Practitioner
Accenture —Pune, Maharashtra
- Full-time
5d
Principal Terraform Architect
Persistent —Pune, Maharashtra
- Full-time
- Hybrid work
- Computer Science
- Java
- Master's degree
- Flexible schedule
Principal Engineer
PUMA —Pune, Maharashtra
- Online application
- Salesforce
- Java
- Master's degree
Salesforce Administrator
ACA Group —Pune, Maharashtra
- Salesforce
- Communication skills
- Paid holidays
- Paid time off
Staff Software Development Engineer
Viavi Solutions —Pune, Maharashtra
- Full-time
- Java
- SQL
- Bachelor's degree
Business Function Implement Practitioner
Accenture —Pune, Maharashtra
- Full-time
- Analysis skills
- Communication skills
Custom Software Engineer
Accenture —Pune, Maharashtra
- Full-time
- Azure
- Computer Science
- DevOps
Lead - Data Science (INAI)
Blue Altair —Pune, Maharashtra
- Azure
- Master's degree
- AWS
Quick apply
Security Delivery Practitioner
Accenture —Pune, Maharashtra
- Full-time
- Software troubleshooting
S&C - GN - SC&E - SCM Planning – Kinaxis – Consultant
Accenture —Pune, Maharashtra
- Full-time
- Master's degree
- Analysis skills
- Bachelor's degree
IT Infra Project Management
Viavi Solutions —Pune, Maharashtra
- Full-time
- Azure
- PMP
- AWS
Application Support Engineer
Accenture —Pune, Maharashtra
- Full-time
- Communication skills
- Python
Assistant Sourcing Manager-Indirect Spend
Avantor —Pune, Maharashtra
- Full-time
- ERP systems
- Microsoft Office
- Master's degree

I want to receive the latest job alerts for support practitioner in hinjewadi pune maharashtra

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

support practitioner jobs near hinjewadi pune maharashtra

Data Scientist jobs in Pune, Maharashtra

IT Project Manager jobs in Pune, Maharashtra

Infrastructure Engineer jobs in Pune, Maharashtra

Delivery Driver jobs in Pune, Maharashtra

Sourcing Manager jobs in Pune, Maharashtra

Software Engineer jobs in Pune, Maharashtra

Application Support Engineer jobs in Pune, Maharashtra

Administrator jobs in Pune, Maharashtra

Software Architect jobs in Pune, Maharashtra

Security Manager jobs in Pune, Maharashtra

Principal Software Engineer jobs in Pune, Maharashtra

Web Developer jobs in Pune, Maharashtra

Data Scientist jobs in Mankhurd, Mumbai, Maharashtra

Data Scientist jobs in Bhawanipore, Kolkata, West Bengal

Data Analyst jobs in Maharashtra

Data Scientist, Gift City jobs in Gandhinagar, Gujarat

Data Scientist jobs in Hitec City, Hyderabad, Telangana

Data Scientist Remote jobs in Bengaluru, Karnataka

Data Scientist jobs in Hinjewadi, Pune, Maharashtra

Accountant Data Entry Jobs,berhampur jobs in Orissa

Senior Executive – Credentialing

Credence Global Solutions
Pune, Maharashtra

Apply Now

Job details

Full-time

Qualifications

Quality assurance
Data entry
Communication skills

Full job description

Operations – RCM

Job Roles & Responsibilities

Accounts Receivable Executive is responsible for all aspects of credentialing and re-credentialing of health care professionals. This position ensures all health care professionals are appropriately credentialed, which includes the responsibility of maintaining current information on file and within the credentialing database & Fee schedule Negotiation. This position primarily works independently, but frequently coordinates with other team members, Credentialing Manager and Medical Director.

Perform and collect PSV (primary source verification) documentation for licensing, board certifications, proof of professional liability insurance, National Practitioner Data Bank (NPDB) and/or other sources as required based on NCQA standards, health plan requirements and company credentialing policies. ·
Responsible for monitoring and managing credentialing/re-credentialing requirements and to ensure the collection of all required renewal certifications are on file within the required time frame. ·
Provide consistent and timely follow-up on all outstanding credentialing/re-credentialing files.
Prepare and scan credentialing/re-credentialing files and other credentialing documentation into scanning software. ·
Data entry of new applications in the credentialing database. ·
Maintain working knowledge of the National Committee on Quality Assurance (NCQA) standards and State and Federal regulations related to credentialing. ·
Process provider demographic changes ensuring appropriate documentation has been submitted with the changes, update credentialing database and notify health plans of changes.
Answer credentialing telephone line and provide support to physicians, physician office staff, health plan contacts and company departments as necessary. ·
Process provider network terminations, specialty/category changes, leave of absence requests.
Cross train within department to support credentialing operations (providing back-up support for telephones, credentialing files, vacation/PTO). ·
Perform other related duties as assigned by management. ·
Comply with HIPAA and Corporate Compliance program policies and other applicable corporate and departmental policies. ·
Always maintain privacy and confidentiality. ·
Maintain CAQH (Council for Affordable Quality Health Care) database and application process.
Maintain the credentialing database and ensure up-to-date information is always obtained.

Candidate Requirements

Must demonstrate exceptional communication skills, listening effectively and asking questions when clarification is needed.
Ability to follow instructions and respond to Managements’ directions accurately.
Demonstrates accuracy, organizational and problem-solving skills. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
Maintain confidentiality.
Work independently, prioritize work activities and use time efficiently.
Must demonstrate and promote a positive team-oriented environment.
Must be able to stay focused and concentrate under normal or heavy distractions.
Must possess ability to manage change, delays, or unexpected events appropriately.
Minimum 3 Years or Experience in US Health Care.
Experience with CAQH (Council for Affordable Quality Health Care) database and application process.

Kindly Note: At Credence, we uphold the highest standards of integrity in our recruitment process. We do not charge any fees at any stage of the hiring process, and we strictly prohibit any third parties, vendors, or individuals from soliciting money in exchange for job opportunities at Credence.

If you are approached by anyone requesting payment or offering you a position at Credence in exchange for money, do not engage with them. Such actions are fraudulent and not authorized by Credence. Please report any such incidents immediately to our official HR team at [email protected]

Your safety and trust are important to us. Thank you for helping us maintain a fair and transparent hiring environment.

Job Category: Opeartions [RCM]

Job Type: Full Time

Job Location: Pune IN

Apply Now

Refine Your Search

support practitioner jobs in hinjewadi pune maharashtra

Senior Executive – Credentialing

Analytics Practitioner

Web Developer

Project Control Services Practitioner

AWS Solutions Architect

Cloud Infrastructure Engineer

Senior Manager, Customer Experience

Security Managed Services Practitioner

Principal Terraform Architect

Principal Engineer

Salesforce Administrator

Staff Software Development Engineer

Business Function Implement Practitioner

Custom Software Engineer

Lead - Data Science (INAI)

Security Delivery Practitioner

S&C - GN - SC&E - SCM Planning – Kinaxis – Consultant

IT Infra Project Management

Application Support Engineer

Assistant Sourcing Manager-Indirect Spend

I want to receive the latest job alerts for support practitioner in hinjewadi pune maharashtra

Explore jobs in more locations

Operations – RCM

Job Roles & Responsibilities

Candidate Requirements

Jobseeker tools

Employer Tools

Browse

Stay Connected