Provider Credentialing (US healthcare medical billing)
1. Collect all the data and documents required for filing credentialing applications from the physicians
2. Store the documents centrally on our secure document management systems
3. Understand the top payers to which the practice sends claim and initiate contact with the payers
4. Apply the payer-specific formats after a due audit
5. Timely follow-up with the Payer to track application status
6. Obtain the enrolment number from the Payer and communicate the state of the application to the physician
7. Periodic updates of the document library for credentialing purposes.
Required Candidate profile
Desired Candidate Profile
1. Should have worked as a Credentialing Analyst for at least 1-year medical billing service providers
2. Good Knowledge in Provider credentialing (Doctor side).
3. Good knowledge in clearing house setup
- Electronic Data Interchange setup (EDI)
- Electronic Remittance Advice Setup (ERA)
- Establish Insurance Portals (EFT)
1. Experience in Insurance calling.
2. Valuable knowledge in filling insurance enrollment applications.
3. Good experience in CAQH, PECOS application.
4. Experience in Medicare, Medicaid, Commercial insurance enrollment.
5. Positive attitude to solve problems
6. Knowledge of generating aging report
7. Strong communication skills with a neutral accent
Note Minimum of 1 to 3 years of Provider Credentialing experience must.
Location: Coimbatore (Onsite job)
Preference will be given to candidates who can start immediately or with short notice.
Candidates who are freshers or have experience in other domains are kindly requested not to apply for this position.