Key Responsibilities
*1–3 years of experience in US Healthcare Credentialing or Provider Enrolment is preferred.
* Manage provider credentialing and re-credentialing processes.
* Handle provider enrollment with commercial insurance payers, Medicare, and Medicaid.
* Maintain and update CAQH profiles and provider information.
* Coordinate with healthcare providers, insurance payers, and internal teams to ensure timely credentialing.
* Prepare, review, and maintain accurate credentialing documentation and records.
* Monitor application status and perform regular follow-ups with payers to ensure timely approvals.
* Ensure compliance with payer requirements, HIPAA regulations, and organizational policies.
* Maintain provider data across credentialing systems and payer portals.
* Support audits and resolve credentialing-related issues efficiently.
* Good analytical and problem-solving abilities.
* Knowledge of NPI, PECOS, CAQH, NPPES, and payer portals.
* Understanding of provider licensing, malpractice insurance, board certifications, DEA registration, and state licensing requirements.
* Familiarity with HIPAA compliance and healthcare regulations.
Share your resume with [email protected]
Contact: 89259 869319
Pay: From ₹18,000.00 per month
Benefits:
- Paid sick time
- Provident Fund
Work Location: In person
