- Assist in preparing and coordinating provider information with Onsite team.
- Verifying CAQH information and credentials supplied by Onsite team.
- On-floor support to the team – Query resolution and training
- Quality check, coaching and feedback to the junior team members.
- Prepare and submit all enrolment applications for commercial payers with supporting documentation
- Managing queries and correspondences from payers.
- Follow-up with insurance companies to ensure timely processing of applications.
- Maintaining the copies of licenses, DEA, malpractice insurance and other required documents.
- Assisting on client calls by updating them on the provider’s credentialing status.
- Maintained and updated all practitioner databases.
- Efficiently credentialing of all providers in a timely manner.
Education & experience
- Graduation
- Min. 2-4 years of Credentialing experience (U.S. Healthcare) Knowledge, skills, & abilities
- Excellent written and verbal communication skills
- Proficient with MS Office and the ability to navigate multiple platforms
- Ability to learn Revenue Cycle Management workflows related to patient communication
- Robust customer service skills with the ability to resolve patient concerns
- Demonstrate soft skills to enhance patient experience