Client Partner - Provider Recredentialing Job in Access Healthcare Services Pvt Ltd.
Client Partner - Provider Recredentialing
- Mumbai, Maharashtra
- Not Disclosed
- Full-time
- Permanent
Ensure that the most accurate information is available on the Payer website so that the right information will be available for the patients to avail services
Processes that are part of the role include - Provider Re-Credentialing, Organizational Credentialing, Provider Recruitment/Enrollment (Shell Creation)
Typical Provider information that is to be verified includes: Name, License details/ NPI / DEA, Tax id, Practice Locations, Specialty, Hospital Affiliations, OIG and NPDB report
Provider verification involves validation of the providers basic Information, Provider Specialty, Hospital Affiliations, Board Certification, Practice Location, Accepting Patients, Languages, and Malpractice
Skills Required :
10+2+3 (Graduation Mandatory) 2+ years equivalent experience of Credentialing and Provider Enrollment Processes
Experience with all of the following: PECOS, NCQA Standards as they relate to credentialing, CMS Regulations related to credentialing, and conducting web based research
Must be able to: Excel sort, filter, import / export data, basic formulas Word create and modify docs, mail merge Outlook manage emails and calendars
Excellent Communication Skills
Fresher
2 - 4 Hires
