- Verify the credentials, qualifications, and licensure of healthcare providers through primary source verification methods. Worked on CAQH and PECOS (Medicare/Medicaid), Review and analyze credentialing applications, ensuring completeness and accuracy of information provided. Candidate has worked on proivder enrollment(ERA/EDI) Develop and maintain credentialing files and databases, ensuring confidentiality and security of sensitive information. Maintain up-to-date knowledge of relevant regulatory requirements, accreditation standards, and organizational policies related to credentialing. Communicate with healthcare providers, licensing boards, and other relevant entities to obtain necessary documentation and resolve credentialing issues. Monitor and track the credentialing status of healthcare providers, including expiration dates for licenses, certifications, and other credentials. EXPERTISE AND QUALIFICATIONS 1. Communication Skills: Effective communication is essential in credentialing, as professionals interact with various stakeholders, including healthcare providers, regulatory agencies, and internal teams. 2. Analytical Skills: Credentialing often involves analyzing complex data and identifying discrepancies or irregularities. Professionals must possess strong analytical abilities to effectively evaluate credentialing information. 3. Attention to Detail: In credentialing, accuracy is paramount. Professionals must meticulously review and verify documents, ensuring that all information is correct and up-to-date. 4. Problem-Solving Skills: Credentialing professionals often encounter challenges or discrepancies that require problem-solving skills to resolve effectively. The ability to troubleshoot issues and find practical solutions is invaluable in this field
Pay: ₹20,000.00 - ₹40,000.00 per month
Benefits:
- Food provided
- Health insurance
- Provident Fund
Ability to commute/relocate:
- Whitefield, Bengaluru, Karnataka: Reliably commute or planning to relocate before starting work (Preferred)
Application Question(s):
- How many years of experience do you have in credentialing?
- How many years of experience do you have in provider?
- How many years of experience do you have in Enrollment?
Experience:
- Credentialing : 1 year (Preferred)
Location:
- Whitefield, Bengaluru, Karnataka (Preferred)
Work Location: In person
