Manager – Credentialing

Application Filling, Contract loading, Pecos portal, Medicare and Medicaid

Eligibility :- Graduates from any stream can apply

Skill Required: 

  • Good oral & Written communication
  • Minimum 7+ years of Experience in provider Credentialing
  • Minimum 3 years of Experience in Team Handling
  • Excellent Interpersonal Skill & Client coordination
  • Strong in MS office

Job Description: 

  • Overseeing the entire credentialing process for new and existing healthcare providers. This involves collecting and reviewing documentation, verifying licenses, certifications, education, training, work history, and references.
  • Assisting the team to fill the applications and in contract loading & welcome kit generation.
  • Assisting the team in Application follow ups.
  • Ensuring the application processing time is within the TAT.
  • Experience in PECOS, Medicaid Enrollments. strong knowledge in CAQH & commercial enrollments
  • Experience in working with providers from multiple state & strong knowledge in the state rules.
  • Maintain process compliance as per client requirements and applicable state laws.
Job Category: Credentialing
Job Type: 7-15 Years
Job Location: Chennai

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