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Job Details:
Position Name : Associate / Sr. Associate – Credentialing
Location: Noida, Uttar Pradesh
Job ID : 7e8551e2d696018c
Description : 1. Collect all the data and documents required for filing credentialing applications from the physicians
2. Maintain current and accurate data for all providers.
3. Complete provider credentialing and credentialing applications; monitors applications and follows-up as needed.
4. Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
5. Maintains corporate provider contract files.
6. Maintains knowledge of current health plan and agency requirements for credentialing providers.
7. Sets up and maintains provider information in online credentialing databases and system.
8. Tracks license and certification expirations for all providers to ensure timely renewals.
9. Ensures practice addresses are current with health plans, agencies, and other entities.
10. Processes applications for appointment and reappointment of privileges to The Doctors Clinic (ASC).
11. Tracks license, DEA and professional liability expirations for appointed ASC providers.
12. Maintains ASC appointment files, and information in the credentialing database.
13. Store the documents centrally on our secure document management systems
14. Obtain the enrolment number from the payer and communicate the state of the application to the physician
15. Periodic update of the document library for credentialing purpose
Experience Range:
1 – 3 years
Educational Qualifications:
Any graduation,
Job Responsibilities:
1. Maintains confidentiality of provider information.
2. Provide credentialing and privileging verifications.
3. Performs other duties as assigned.
Skills Required:
Credentialing, US Healthcare, Provider Enrollment, Medical Billing,
Candidate Attributes:
1. Ready to work in US Shifts (6pm to 3am).
2. 1 to 3 years of Experience in US Healthcare
3. Exposure to credentialing process would be beneficial
4. Strong written and verbal communication skills.
5. Good computer skills including Microsoft Office suite.
6. Ability to prioritize and manage work queue.
7. Ability to work independently as well as in a team environment.
8. Strong analytical and problem-solving skills.
9. Ability to perform other responsibilities and assist with special projects.
10. Ability to learn quickly and also provide training to others.
11. Sharing of knowledge and best practices.
12. Adherence to compliance norms.
13. Good typing skills with a speed of min 30-35 words /min
Job Code: KL-OPS-CLHYD-NDA-1
About Us
iHealth Innovations, an innovation-enabled revenue performance and advisory company for physician practices and medical groups is a Product driven organisation and helps providers successfully navigate to the future of healthcare.
iHealth is the only innovator focused on integrating revenue cycle management with business intelligence, analytics, care coordination and population health which can help hospitals and physicians increase their existing revenue stream, uncover new payment opportunities and elevate RCM to Revenue Cycle Performance™.
iHealth’s new W.R.A.P (Wellness Revenue Assistance Program™) service offers provider education, EHR workflow optimization and a regulatory focused approach to monitoring program performance metrics including MACRA.
Why Us?
iHealth Innovations is an Employer of Choice (EOC) targeting to recruit more than 500 new employees in 2017. IHealth offers a very competitive compensation and benefits package along with a dynamic and challenging environment.
You will be part of the growth which would help them to move to the next level in your careers.
Gives an Opportunity to learn from some of the healthcare veterans that are a part of iHealth.
An employee friendly management with an open-door policy and benefits at par with the major RCM companies.
Competitive Environment
Encourage Learning by allocating good budget for learning
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