Associate/Sr. Associate
Skills: US HealthCare, Medical Billing, Accounts Receivables
Role type
Full-Time
Location
Ahmedabad - Offsite
Experience
1-4 years
Product Area
Revenue Cycle Management (RCM)
Job Description
Key Responsibilities
- Responsible for monitoring and managing credentialing/re-credentialing requirements to ensure the collection of all required renewal certifications are on file within the required time frame.
- Perform and collect PSV (primary source verification) documentation for licensing, board certifications, proof of professional liability insurance, National Practitioner Data Bank (NPDB) and/or other sources as required based on NCQA standards, health plan requirements and company credentialing policies.
- Data entry of new applications into the credentialing database.
- Comply with HIPAA and Corporate Compliance program policies, as well as other applicable corporate and departmental policies.
- Answer credentialing telephone line and provide support to physicians, physician office staff, health plan contacts, and company departments as necessary.
- Cross-train within department to support credentialing operations (providing back-up support for telephones, credentialing files, vacation/PTO).
- Maintain CAQH (Council for Affordable Quality Healthcare) database and application process.
- Maintain the credentialing database and ensure up-to-date information is always obtained.
Skills & Qualifications
- 1 to 4 years of experience in RCM credentialing.
- Must be able to operate a general computer, fax, copier, scanner and telephone.
- Experience with CAQH (Council for Affordable Quality Healthcare) database and application process.
- Demonstrates accuracy, organizational and problem-solving skills.
- Improves, promotes quality and monitors own work to ensure quality is met.
- Exceptional communication and analytical skills, listening effectively and asking questions when clarification is needed.
- Bachelor’s degree or diploma plus professional training.
- Must possess ability to manage change, delays, or unexpected events appropriately.
- Willingness to work during US shifts.
- Demonstrate and promote a positive team-oriented environment.
Additional Skills
- Understanding of the healthcare industry.
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Equal Opportunity Statement
AssureCare® is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, gender, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and internship. AssureCare® makes hiring decisions based solely on qualifications, merit, and business needs at the time. Furthermore, the Company will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.