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Credentialing Specialist at GetixHealth LLC

Bengaluru, karnataka, India -

Full Time

Start Date

Immediate

Expiry Date

05 Jul, 26

Salary

0.0

Posted On

06 Apr, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

US Healthcare Revenue Cycle Management, Provider Enrollment, Credentialing, Claim Resolution, Interpersonal Skills, Verbal Communication, Written Communication, Trend Analysis, HIPAA Compliance, Data Analysis, Problem Solving, Time Management

Industry

Hospitals and Health Care

Description

Required Candidate profile * 1+ years’ experience in US Healthcare Revenue Cycle Management. * Should have an experience in Provider Enrollment/Credentialing. * Good understanding and working experience of End-to-End Claim Resolution model. * Excellent interpersonal, verbal, and written communication skills * Demonstrate ability to work in challenging and changing work environments and apply methodologies to best-fit solutions. Job description * Continual development to be an expert with knowledge of respective clients Credentialing specialties. * Report any system downtime to respective Supervisors and manage the work in such situations. * persuasively; provides clarification; responds well to questions; participates in and contributes to meetings. * Follows policies and procedures; Completes tasks correctly and on time; Supports organization's goals and values. * Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Willing to put in the necessary time to accomplish goals. * Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments. * Provide trend analysis of issues and solutions to the Supervisors. * Ensure complete adherence to TAT and SLAs as defined by the client. * Maintain patient confidentiality and strict adherence to HIPAA. * Attending meetings and training to enhance Credentialing knowledge. * Ability to manage the day-to-day activities.

Responsibilities

The Credentialing Specialist is responsible for managing end-to-end provider enrollment and credentialing processes while ensuring adherence to TAT and SLAs. They must also perform trend analysis on issues, report system downtime, and maintain strict compliance with HIPAA regulations.