Job description:
Job description:
Ideal candidate must have followed:
- Perform all new provider credentialing, existing provider recredentialing, and personal and demographic updates for providers and groups.
- Track all activities in the process of credentialing/recredentialing providers and clinics.
- Ensure that all credentialing/recredentialing dates are fully complied with and nothing gets missed or lapsed.
- Coordinating with other operations team such as billing, coding, finance to ensure all commercial terms of credentialing contracts are followed.
- Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims.
- Developing and modifying workflow process flows as per company requirements. Assisting RCM staff in resolving credentialing and provider enrollment issues.
- This also includes outstate applications.
- Assisting consultants with contracting correspondence and follow-up. Should be comfortable with voice process and interacting with US based onsite team or clients.
- Responsible for generating daily production or worksheet reports as assigned by management.
- Publishing regular credentialing status reports and metrics for customers.
Required Candidate profile. .
- Basic understanding of CPT and ICD9 coding experience including use of modifiers and HCPCS codes.
- Basic knowledge of collection laws, rules, and regulations.
- Client Account Management/Client Interaction experience will be a big plus.
- Knowledge of medical billing or credentialing software, preferably Kareo, Modio or any other similar.
- Knowledge of medical billing and medical coding will be big plus.
- Excellent knowledge of Microsoft 365 office applications like Teams, Outlook, Excel, Word, ppt, CRM Dynamics, OneDrive, Visio etc.
Competencies:
- Excellent verbal and written English business communication skills for interacting with USA based team members/ physicians/vendors/patients.
- Professional and able to make a great impression on the phone. Required to understand, communicate & work regularly with USA based team.
- Candidates must be based out of Chandigarh Tricity or nearby areas like Himachal, Punjab.
- Must have long term association with Chandigarh Tricity area.
- Ability to work well with others and facilitate teamwork and cooperation. Positive attitude and able to follow directions.
- Willing to cross train and cross learn other areas of RCM.
- Tact, diplomacy, and the ability to maintain confidentiality of company, client, and patient information.
- Must have very strong work ethic and excellent attention to detail.
Job Types: Full-time, Permanent
Pay: ₹15,000.00 - ₹25,000.00 per month
Benefits:
- Provident Fund
Work Location: In person
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