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Credentialing Executive

Job description

  • Manage credentialing for healthcare providers, ensuring accurate and timely processing.
  • Verify provider credentials, licenses, and certifications for compliance.
  • Coordinate with insurance companies to enroll providers and resolve enrollment issues.
  • Maintain and update provider information in the RCM system.
  • Monitor enrollment statuses and track changes in insurance plans and regulations.
  • Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases.
  • Should have excellent knowledge in Group Medicare and Medicaid Enrollment/Contracts along with commercial insurances.

Job Requirement:

  • Bachelor’s degree in any discipline.
  • Minimum of 1 to 3 years of experience working in healthcare credentialing, preferably in a medical billing or revenue cycle management setting.
  • Manage all aspects of the provider enrollment and credentialing process, including initial applications, re-credentialing and maintaining provider information in all necessary systems.
  • Excellent communication in English, both written and oral.
  • Willing to work the night shift (any 9 hrs. between 6:30 pm 3:30 am)
  • Salary: as per company policy
Job Type: Full Time
Job Location: Ahmedabad
Job Shift: Night Shift

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Shukla Information Solutions has been in the IT Industry since its establishment in 2015. We offer IT Services, Medical Billing, Web Development Solutions, and Web Designing.

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