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Insurance Credentialing

2.00 to 6.00 Years   Chennai   03 Oct, 2024
CARE MB INDIA PRIVATE LIMITED
Job LocationChennai
EducationNot Mentioned
SalaryRs 2.0 - 4.5 Lakh/Yr
IndustryMedical / Healthcare
Functional AreaAllied Health Services
EmploymentTypeFull-time

Job Description

    • Should have worked as a Credentialing Analyst 2 - 3 years for medical billing service providers
    • Good Knowledge in Provider credentialing (Doctor side).
    • Experience in Insurance calling.
    • Good knowledge in filling insurance enrolment applications.
    • Good experiencein CAQH, PECOS application.
    • Experiencein Medicare, Medicaid, Commercial insurance enrolment.
    • Collect all the data and documents required for filing credentialing applications from the physicians
    • Store the documents centrally on our secure document management systems
    • Understand the top payers to which the practice sends claim and initiate contact with the payers
    • Apply the payer-specific formats after a due audit
    • Timely follow-up with the payer to track application status
    • Obtain the enrolment number from the payer and communicate the state of the application to the physician
    • Periodic updates of the document library for credentialing purposes
    Requirements
    • Proficiency in MS word and excel
    • High command over communication, especially English
    • Positive attitude to solve problems
    • Willingness to work in night shifts
    • Graduate degree in any field

Keyskills :
medicaidmedicarecredentialingpecosprovider credentialing

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