Process Specialist - Credentialing @ Thryve Digital

Home > Customer Success, Service & Operations - Other

Process Specialist - Credentialing

Thryve Digital
2 - 6 years
Hyderabad
25 days ago
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Job Description

Responsibilities

Conduct Primary Source verification by contracting licensing boards, educational institutions and other relevant entities.

Responsible for data entry and maintaining provider information in online credentialing database and systems. [CAQH, DEA, Provider Profiles]

Verify the accuracy and validity of provider credentials, licenses and certificates.

Ensure compliance with federal, state, and organizational credentialing.

Maintain accurate and up-to-date provider profiles in credentialing department.

Track and monitor credential expiration dates and recredentialing timelines.

Initiate and manage the recredentialing process for healthcare providers.

Ensure providers meet ongoing credentialing requirements.

Maintain accurate and organized records of credentialing activities

Address credentialing inquiries and emails and resolves issues promptly

Familiarity with CAQH, License validation, 24/7 coverage, Attestation date, Specialty verification, DEA and other external websites related to Credentialing.

Collect and review initial Credentialing applications and supporting documentations.

Responsible for monitoring development process and following up with providers as needed until confirmation of in network status has been received.

Responsible for maintaining copies of current state license, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.

Job Classification

Industry: IT Services & Consulting
Functional Area / Department: Customer Success, Service & Operations
Role Category: Customer Success, Service & Operations - Other
Role: Customer Success, Service & Operations - Other
Employement Type: Full time

Contact Details:

Company: Thryve Digital
Location(s): Hyderabad

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Keyskills: Process management Credentialing DEA project management monitoring development CAQH

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Your name (*)

Email (*)

Mobile (*)

Preferred City (* max. 2 w/comma)

Designation / Expected Role

Current / Recent Company (*)

Experience (*)

Expected Salary (*)

Desired Industry (*):

Functional area / Department (*):

Enter Skills (key skills, subjects, technologies & roles to use in search)

Write briefly about yourself, your experience and education (*)

Attach ResumeMax 2.38 MB (RTF, PDF, DOC, DOCX formats only parsed)

Please, check the file size and type.

Add social media [ + ]

Create password

I agree with website service terms and conditions

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Thryve Digital

https://www.thryvedigital.com/

Process Specialist - Credentialing @ Thryve Digital

Home > Customer Success, Service & Operations - Other