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Credentialing and Provider Enrollment Specialist - Ahmedabad - WFO @ Medusind

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 Credentialing and Provider Enrollment Specialist - Ahmedabad - WFO

Job Description

MEDUSIND SOLUTIONS - Ahmedabad (WFO)


JOB TITLE - Credentialing and Enrollment


JOB DESCRIPTION:

Managing provider enrollment and credentialing processes with insurance payers to ensure accurate and timely reimbursements. This role involves close coordination with providers, insurance carriers, and internal teams to maintain up-to-date credentials and minimize claim denials related to credentialing issues.


ELIGIBILITY CRITERIA: 1 to 3 Years of Experience in Credentialing and Provider Enrollment (Freshers - Not Eligible)


ROLES AND RESPONSIBILITIES:

  • Handle end-to-end provider credentialing and re-credentialing with insurance companies.
  • Maintain and update provider data in internal systems and payer portals.
  • Verify provider information such as NPI, CAQH, state license, DEA, and malpractice insurance.
  • Track credentialing applications and follow up with payers for approval status.
  • Collaborate with the AR (Accounts Receivable) team to resolve denials or payment issues due to credentialing delays.
  • Maintain documentation of all credentialing activities and ensure compliance with payer requirements.
  • Communicate with providers and internal teams regarding status updates and missing documentation.
  • Support the revenue cycle by ensuring providers are active and eligible with payers for billing.

SHIFT TIMINGS: Night Shift

5:30 PM to 2:30 AM


BENEFITS:

5 Days Working (Saturday & Sunday - Fixed Off)

Salary - Best in Industry

Cab Facility - (Up to 25km Radius)


TO APPLY:

Share your profiles through mail - th*******p@me*****d.com

HR Thendral - 9080343*** (Contact - Only if you have relevant experience)


Job Classification

Industry: Miscellaneous
Functional Area / Department: Other
Role Category: Other
Role: Other
Employement Type: Freshers

Contact Details:

Company: Medusind
Location(s): Ahmedabad

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Keyskills:   Credentialing Enrollment US Healthcare RCM

 Fraud Alert to job seekers!

₹ 2.5-6 Lacs P.A

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