Hinjewadi Pune Maharashtra Support practitioner Jobs – 136 Open Jobs Today

Executive [Credentialing]
Credence Global Solutions —Pune, Maharashtra
- Full-time
- Data entry
- Communication skills
- Paid time off
PMO Manager
Apex Group —Pune, Maharashtra
- Full-time
- Microsoft Powerpoint
- Microsoft Excel
- Azure
Senior Manager, Product Engineering
Siemens Energy —Pune, Maharashtra
- Full-time
- Management
- DevOps
- English
- Paid holidays
- Health insurance
Senior DFIR Analyst
Barclays —Pune, Maharashtra
- Windows
- Linux
2d
Full Stack Engineer
Accenture —Pune, Maharashtra
- Full-time
- Analysis skills
- Project management
- Agile
GN Industry-Auto-Manager
Accenture —Pune, Maharashtra
- Full-time
- Oracle
- Customer service
- Salesforce
Warehouse Supervisor(Inward & Dispatch)
Bufab India Fasteners Pvt Ltd —Bhosari, Pune, Maharashtra
- Full-time
- Inventory management
- ERP systems
- Microsoft Office
- Health insurance
Quick apply
AI Product Manager
Credence Global Solutions —Pune, Maharashtra
- Full-time
- Azure
- Computer Science
- Master's degree
Enterprise Platform Advisor
Accenture —Pune, Maharashtra
- Full-time
- Oracle
- Inventory management
- Analysis skills
Principal Data Engineer
Precision AQ —Pune, Maharashtra
- Online application
- Remote
- Azure
- Computer Science
- DevOps
Quick apply
Executive – Business Development
KEM Hospital —Pune, Maharashtra
- Master's degree
- Bachelor's degree
- MBA
Service Management Practitioner
Accenture —Pune, Maharashtra
- Full-time
- Communication skills
6d
Lead Specialist - Infection Control Nurse
Cloudnine Care —Pune, Maharashtra
- Full-time
- Nursing
- Time management
3h
Data Insights & Visualization Practition
Accenture —Pune, Maharashtra
- Full-time
- Continuous improvement
- AI
5d
Engineer - Mechanical (LV Switchgear)
Eaton —Hadapsar, Pune, Maharashtra
- Assembly
- Bachelor's degree
3d
Executive / Sr. Executive Liver Marketing (Ahilyanagar & Solapur Track)
Sahyadri Hospitals —Pune, Maharashtra
Solution Architect – (AI Infrastructure & Hybrid Cloud)
Gruve —Pune, Maharashtra
- Azure
- Computer Science
- DevOps

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Executive [Credentialing]

Credence Global Solutions
Pune, Maharashtra

Apply Now

Job details

Full-time

Benefits

Paid time off

Qualifications

Quality assurance
Data entry
Communication skills

Full job description

Department – Operations [RCM]

Job Role

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.

Job Category: Operations

Job Type: Full Time

Job Location: Pune IN

Apply Now

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support practitioner jobs in hinjewadi pune maharashtra

Executive [Credentialing]

PMO Manager

Senior Manager, Product Engineering

Senior DFIR Analyst

Full Stack Engineer

GN Industry-Auto-Manager

Warehouse Supervisor(Inward & Dispatch)

AI Product Manager

Enterprise Platform Advisor

Principal Data Engineer

Executive – Business Development

Service Management Practitioner

Lead Specialist - Infection Control Nurse

Data Insights & Visualization Practition

Engineer - Mechanical (LV Switchgear)

Executive / Sr. Executive Liver Marketing (Ahilyanagar & Solapur Track)

Solution Architect – (AI Infrastructure & Hybrid Cloud)

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

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