Job Opportunities in Pakistan
September 11, 2024
CloudRCM Solutions
Rawalpindi
FULL TIME
Credentialing Specialist
RESPONSIBILITIES:
Job Type: Full-time
Shift: (6:00 PM - 3:00 AM) Night shift
Job Location: Bahria Phase 7, Rawalpindi
Job Type: Full-time
Pay: Rs50,000.00 - Rs120,000.00 per month
Education:
- Accurately complete credentialing and reappointment applications to be sent to payers and facilities on behalf of providers for both Outpatient and ABA providers.
- Track progress of outstanding applications and report progress to Client Managers/Team Leaders.
- Monitor and update provider portals to ensure accurate information is visible
- Keep current provider records electronically in Credentialing software, electronic provider folders, and in provider hard copy folders.
- Assist in obtaining needed documentation from providers, such as copies of state licenses, IRS documents, NPI Notification forms, DEA numbers, board certifications, malpractice certificate of insurance, etc.
- Prepare professional communication to providers, payers, and facilities.
- Understand how provider credentialing impacts billing, contracts, and EDI.
- Investigate solutions to problems and determine best course of action.
- Communicate clearly and professionally with team members, payers, credentialing representatives,
- Must be able to process the ERA & EFT application
- Must Have the brief Knowledge of Govt., MCOs and commercial Insurances enrollments
- Minimum 2- years Experience
- Minimum graduate
- Leadership and Management Skills
- Good Communication and Research Skills
Job Type: Full-time
Shift: (6:00 PM - 3:00 AM) Night shift
Job Location: Bahria Phase 7, Rawalpindi
Job Type: Full-time
Pay: Rs50,000.00 - Rs120,000.00 per month
Education:
- Bachelor's (Preferred)
- Credentialing Specialist:: 2 years (Preferred)
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