Guindy Industrial Estate Chennai Tamil Nadu Credentialing specialist Jobs – 9 Open Jobs Today

Credentialing Specialist
Starlink Healthcare Administration —Chennai, Tamil Nadu
- ₹25,000 - ₹40,000 a month
- Full-time
- Bachelor's degree
- Data entry
- In-person
- Health insurance
- Life insurance
Quick apply
Team Leader – Provider Credentialing (Application Specialist) (Night)
e-care India —Chennai, Tamil Nadu
- Microsoft Office
- Typing
- Communication skills
Health Operations Specialist
Accenture —Chennai, Tamil Nadu
- Full-time
- Management
- Master's degree
- Analysis skills
CREDENTIALING SPECIALIST
BILLNUERCM PVT LIMITED —Chennai, Tamil Nadu
- ₹15,000 - ₹26,000 a month
- Bachelor's degree
- In-person
- Communication skills
Quick apply
Credentialing Support Executive (Voice Calling)
All Care Therapies —Chennai, Tamil Nadu
- Full-time
- Communication skills
- Health insurance
Quick apply
Key Accounts Specialist - Women's Health
Organon —Chennai, Tamil Nadu
- Full-time
- CRM software
- Sales
- Microsoft Office
Quick apply
ICU/ER Duty Doctor
Ropheka Multi Speciality Hospitals —Chennai, Tamil Nadu
- ₹40,000 - ₹50,000 a month
- Full-time
- Medicine
- ACLS Certification
- ICU experience
Quick apply

I want to receive the latest job alerts for credentialing specialist in guindy industrial estate chennai tamil nadu

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

credentialing specialist jobs near guindy industrial estate chennai tamil nadu

Credentialing Specialist jobs in Chennai, Tamil Nadu

Physician jobs in Chennai, Tamil Nadu

Account Specialist jobs in Chennai, Tamil Nadu

Credentialing Specialist jobs in Noida, Uttar Pradesh

Credentialing Specialist jobs in Bengaluru, Karnataka

Implementation Specialist jobs in Pune, Maharashtra

E Commerce Specialist jobs in Jaipur, Rajasthan

Credentialing Specialist jobs in Hyderabad, Telangana

Learning Specialist jobs in Gurugram, Haryana

Credentialing Specialist jobs in Remote

Credentialing Specialist jobs in Mumbai Central H.o, Mumbai, Maharashtra

Medical Billing, Credentialing jobs in Mumbai, Maharashtra

E Commerce Specialist jobs in Bengaluru, Karnataka

Ai Content Specialist jobs in Mumbai, Maharashtra

E Commerce Specialist jobs in Sakinaka, Mumbai, Maharashtra

Credentialing Specialist jobs in Kharar, Punjab

Sourcing Specialist, Merchandiser jobs in Gurugram, Haryana

Critical Care Physician jobs in Tamil Nadu

Physician Assistant Ctvs jobs in Tamil Nadu

Physician jobs in Gachibowli, Hyderabad, Telangana

Credentialing Specialist

Starlink Healthcare Administration
Chennai, Tamil Nadu

Quick apply

Job details

Permanent | Full-time
₹25,000 - ₹40,000 a month

Benefits

Provident Fund
Leave encashment
Health insurance
Life insurance

Qualifications

Content management systems
Medical records
Bachelor's degree
Data entry
Medical terminology

Full job description

Credentialing Specialist:

● Familiar in Family practice and Maintain compliance with all regulatory and accrediting institutions

● Design and maintain the development and enhancement of internal credentialing and managed care contracting processes.

● Release information to agencies and members of the public as required by law

● Monitoring and ensuring credentials documents are maintained and current.

● Interacts with varied levels of management, physician office staff and physicians effectively to accomplish credentialing and various elements of implementation and launch.

● Coordinate data between internal and external systems, including licensures, CAQH, and NPPES.

● Proactively identify and resolve issues, coordinate resolutions, and identify educational opportunities.

● Maintain expertise in industry regulations (NCQA, URAC, State, Federal/CMS) and serve as the organization's regulatory subject matter expert.

● Maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications.

● Maintains confidentiality of provider information.

● Provides enrollment with government and commercial payers.

● Monitoring and ensuring credentials documents are maintained and current.

● Data entry and follow up in credentialing software.

● Use payer credentialing systems and manage payer contracts.

● Release information to agencies and members of the public as required by law.

● Maintain a contract repository with rate sheets for revenue cycle staff.

● Develop and negotiate managed care contracts with payers.

● Monitor contract performance and compliance.

● Analyze financial and operational impact of contracts.

● Maintain relationships with managed care organizations.

● Ensure contracts align with organizational goals and regulatory requirements

● AR Calling and denial work as assigned

● Other duties as assigned.

Other Responsibilities:

● Displays a competent knowledge of CMS and insurance policy and procedures as well as Federal and State Regulations. Keeps current with available resources.

● Maintains confidentiality, proper boundaries and an ethical relationship with clients and co-workers accordingly to Company's policies.

● Ensures all provider records are maintained according to agency standards, policies and procedures.

● Completes annual educational program as required.

● Participates in the development of quality improvement activities designed to enhance agency and program services

● Performs Other Duties as Needed

Job Types: Full-time, Permanent

Pay: ₹25,000.00 - ₹40,000.00 per month

Benefits:

Health insurance
Leave encashment
Life insurance
Provident Fund

Application Question(s):

How many years of experience do you have as a Credentialing Specialist?
What is your current salary and your expected Salary?
Are you an immediate joiner? Please mention your notice period?

Work Location: In person

Quick apply

Refine Your Search

credentialing specialist jobs in guindy industrial estate chennai tamil nadu

Credentialing Specialist

Team Leader – Provider Credentialing (Application Specialist) (Night)

Health Operations Specialist

CREDENTIALING SPECIALIST

Credentialing Support Executive (Voice Calling)

Key Accounts Specialist - Women's Health

ICU/ER Duty Doctor

I want to receive the latest job alerts for credentialing specialist in guindy industrial estate chennai tamil nadu

Explore jobs in more locations

Jobseeker tools

Employer Tools

Browse

Stay Connected