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
