Professional, Provider Enrollment (Multiple)
Advantum Health · Noida · onsite · Posted 1d ago
Undisclosed2–4 yrsfulltimeSourced from
About a minute. You'll make an account on the way through.
About this role
Professional - PES
2-4 Years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing.
Strong knowledge of US Credentialing
Knowledge of provider credentialing and its direct impact on the practice s revenue cycle.
Adhere to organizational policies and procedure.
Ability to prioritize and manage work queue.
Knowledge of Microsoft Office (Word, Excel, Outlook).
Excellent written and verbal communications. Essential Functions
Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications.
Maintain internal provider grid to ensure all information is accurate and logins are available.
Update each provider s CAQH database file timely according to the schedule published by CMS.
Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid etc.
Maintains knowledge of current health plan and agency requirements for credentialing providers.
Sets up and maintains provider information in online credentialing databases and system.
Tracks license and certification expirations for all providers to ensure timely renewals.
Ensures practice addresses are current with health plans, agencies, and other entities.
Store the documents centrally on our secure document management systems.
Periodic update of the document library for credentialing purpose.
Maintain strict confidentiality in accordance with HIPAA regulations and company policy.
Meeting daily/weekly and monthly targets set for an individual
Required Skills
Execution and Delivery Reports Dependability Attendance HIPAA Communication Skills Job Knowledge Quality Productivity Customer Focus
Disclaimer: This job posting and Location has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.
Sourced from naukri
Skills
Document ManagementCMScredentialingmicrosoft officehipaaMedicaidmedicareprovider enrollmentProvider CredentialingCommunication Skills
About Advantum Health
Advantum Health
Healthcare
231
employees
1996
30 years old
Louisville, Kentucky
United States
₹4.7L PA avg
Avg at Advantum Health
About
Advantum Health is a revenue cycle management company delivering customized RCM solutions for hospitals and other healthcare organizations.
Industries
Healthcare
Employee ratings
10 reviews
3.1/ 5
Culture
2.4
Career growth
2.1
Work-life
2.6
Employees rate it well for
Compensation & Benefits31Overall Company31
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