Walk-in For Credential Specialist_Healthcare_Immediate_ Chennai

Greetings from eNoah iSolution!

Hiring - Credential Specialist ( Health care)

Experience: 2-4 Years

Job Location: Chennai (Taramani)

Shift : Night Shift

Salary: Based on the performance

Notice Period : Immediate Joiner

Roles & Responsibilities:

Should know the credential process for various Medical Insurances including HMOs & IPAs

Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications.

Maintain contracted Managed Care Organizations, commercial payers, CMS Medicare, Medicaid, PECOS, NPPES, and CAQH tracking log to ensure all necessary portals logins are active and available.

Work with individual providers to ensure each provider s CAQH database files are updated timely according to the schedule published by CMS Medicare/ Medicaid and Managed Care Organizations regulations.

Assist new individual provider completing application for National Provider Identifier (NPI).

As directed, provide updated demographic information with supporting documents to outside participants, such as commercial managed care plans and contracted billing entities.

Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases.

Responsible of ensuring provider collected information is current and accurate.

Responsible of coordinating, monitoring, and maintaining the credentialing and re-credentialing process, re-credentialing, and contracting processes with insurance companies.

Contacting Managed Care Organizations, Commercial plans, CMS Medicare, and Medicaid and/or other insurance agencies to follow up on several stages in credentialing.

Keep track of the expiration date for the state DEA license, Board certification, and Malpractice insurance of individual providers.

Desired Skills:

Domain Knowledge

Good interpersonal communication skills and the ability to empathize with others.

Possesses excellent judgment and the ability to maintain professional relationships and boundaries when working with internal and external colleagues and organizations.

Minimum Intermediate computer proficiency in Microsoft office programs, internet, email and EHR systems.

Good verbal and written communication skills

Interested Candidates come for Direct Walk-in.

Mention 'Sakthivel' on your resume.

Direct Walk-in details:

Time and Venue:

22nd to 24th Jan 25

2 PM to 8 PM

eNoah iSolution- Elnet Software City, 1st floor , Rajiv Gandhi Salai, Tharamani, Chennai, Tamil Nadu 600113

(Opposite to Thiruvanmiyur railway station)

Regards,

Sakthivel S -HR