porur chennai tamil nadu credentialing specialist Jobs – 10 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
CREDENTIALING SPECIALIST
BILLNUERCM PVT LIMITED —Chennai, Tamil Nadu
- ₹15,000 - ₹26,000 a month
- Bachelor's degree
- In-person
- Communication skills
Quick apply
CREDENTIALING SPECIALIST
INOFINITY Healthcare Solutions Private Limited —Chennai, Tamil Nadu
- From ₹15,000 a month
- Full-time
- Nursing
- Bachelor's degree
- In-person
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
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
Credentialing Support Executive (Voice Calling)
All Care Therapies —Chennai, Tamil Nadu
- Full-time
- Communication skills
- Health insurance
Quick apply

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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 porur chennai tamil nadu

Credentialing Specialist

CREDENTIALING SPECIALIST

CREDENTIALING SPECIALIST

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

Health Operations Specialist

Key Accounts Specialist - Women's Health

ICU/ER Duty Doctor

Credentialing Support Executive (Voice Calling)

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