Job Description

Create the future of e-health together with us by becoming a Team LeaderAs 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:

• A safe digital application and onboarding process
• Health Insurance Accidental Insurance Both sides pick up and Drop facility/ Self Transport Allowance
• Subsidized Meals
• Fun at Work
• Career Growth -Best in the Industry
• Merit Increment -Best in the Industry
• Employee Friendly Environment
• Best HR Practices
• Secured workplace for employees
• Ample scope of Reward and Recognitions

Responsibilities:

• 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 activities, policies, and procedures.
• Acting as a resource and subject matter expert, resolving issues, Coordinating with Credentialing contacts regarding the credentialing process.
• Verifying primary source data, such as provider education, board certifications, licensure, and other eligibilities /documents.
• Work on experience in All modules of CAQH. Overall, should be expertise with CAQH.
• Ensuring timely credentialing and re-credentialing of network providers and working with Internal/External Team to ensure credentialing files completed within timeframe and compliance.
• Calling Payers for Enrollment application status and take necessary action

Convinced? Submit your application now! Please make sure to include your salary expectations as well as your earliest possible hire date.We create the future of e-health. Become part of a significant mission.

CompuGroup Medical