Internet Concepts
e-health
CredentialingSeniorAssociate
Neural analysis suggests this role is
optimal for Mid candidates.
“Credentialing Senior Associate at Internet Concepts. Skills: Credentialing, US Healthcare, CAQH. Ensure credentialing processes are following professional standards, bylaws, state and federal regulatory requirements. Oversee day-to-day operational credentialing and privileging activities”
What You'll Achieve.
Ensure credentialing processes are following professional standards, bylaws, state and federal regulatory requirements; Ensuring timely credentialing and re-credentialing of network providers; ensure credentialing files completed within timeframe and compliance
Industry & Context.
resolving issues
flexible to work in shifts, based on business need
What They're Looking For.
Must Have
2 years of experience as a Credentialing in US RCM industry, knowledge in CAQH modules, expertise with CAQH, Basic knowledge about Internet Concepts, Windows, Micorsoft, Adobe products, documentation and presentation skills, flexible to work in shifts
What You'll Do.
Ensure credentialing processes are following professional standards
state and federal regulatory requirements
Oversee day-to-day operational credentialing and privileging activities
Collaborating with the Credentialing Manager to ensure proper functioning of activities
Acting as a resource and subject matter expert
Coordinating with Credentialing contacts regarding the credentialing process
Verifying primary source data
such as provider education
and other eligibilities /documents
Ensuring timely credentialing and re-credentialing of network providers
working with Internal/External Team to ensure credentialing files completed within timeframe and compliance
Calling Payers for Enrollment application status and take necessary action
How You'll Work.
Team & Collaboration
Collaborating with the Credentialing Manager; Coordinating with Credentialing contacts; working with Internal/External Team
Full Job Description
**Create the future of e-health together with us by becoming a Sr. Associate Credentialing** As one of the Best in KLAS RCM organizations in the industry we offer a full scope of RCM services as well as BPO services, our organization gives our team members the training and solutions to learn and grow across variety of technologies and processes. As an innovator and leader in the e-health services we offer unparalleled growth opportunities in the industry. **What You Can Expect From Us: • High Performing Team: **You will be part of a close-nit, elite team within CGM that will move fast, with accuracy and hit deadlines with confidence. **• In-Person Team Environment:** The role and the team will be onsite in Noida. We’re making work human again. No more working with people that you never meet in person. In this role, you will build in-person relationships with your team, and friendships for years to come. **• Comprehensive Benefits:** Extensive group health and accidental insurance programs. **• Seamless Onboarding:** A safe digital application process and a structured onboarding program. **• Engagement Activities:** Tons of fun at work with engagement activities and entertaining games. **• Career Growth:** Various career growth opportunities and a lucrative merit increment policy. **• Job Security:** A recession-proof and secure workplace for our entire workforce. **• Flexible Transportation:** Choose between a self-transport allowance or our pick-up/drop-off service. **• Subsidized Meals: Enjoy our kitchen and food hall with subsidized meals, for your convenience.** **What you can do for us:** * Should have working experience in US Healthcare -Credentialing Process-Payer and Provider Processes. * Ensure credentialing processes are following professional standards, bylaws, state and federal regulatory requirements. * Oversee day-to-day operational credentialing and privileging activities. Collaborating with the Credentialing Manager to ensure proper functioning of ac
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