Provider Enrollment QA Openings at Advantum Health, Hyderabad

5 - 10 years

4 - 7 Lacs

Posted:3 weeks ago| Platform: Naukri logo

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Work Mode

Work from Office

Job Type

Full Time

Job Description

Huge HIRING

Experienced Provider Enrollment QA of US Healthcare Openings at Advantum Health, Hitech City, Hyderabad.

Desired profile

  • Must have minimum 5 years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing
  • Must have experience in getting providers setup with Insurance payers

  • Must have one year experience as QA

  • 3 - 5 Years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing.
  • Knowledge of provider credentialing and its direct impact on the practices revenue cycle.
  • Should be willing to work in US Shift. (5:30 PM to 2:30 AM).
  • Good typing skills with a speed of min 30-35 words /min.

Whatsapp your resume to 9059683624, 7382307530, 8247410763

Address:

Location: https://goo.gl/maps/yVe5kkAcv9Ers3mr8

Location : Hyderabad

Work from office

Shift: Night Shift (5.30pm to 2.30am)

One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance

Role & responsibilities:

  • Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications.
  • Maintain internal provider grid to ensure all information is accurate and logins are available.
  • Update each providers CAQH database file timely according to the schedule published by CMS.
  • Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid etc.
  • Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to provider credentialing.
  • Maintain accurate provider profiles on CAQH, PECOS, NPPES, Payer directory and CMS databases.
  • Maintain strict confidentiality in accordance with HIPAA regulations and company policy
  • Meeting daily/weekly and monthly targets set for an individual.

Follow us on LinkedIn, Facebook and Instagram for all updates:

Advantum Health Linkedin Page:

https://www.linkedin.com/showcase/advantum-health-india/

Advantum Health Facebook Page:

https://www.facebook.com/profile.php?id=61564435551477

Advantum Health Instagram Page:

https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk

Advantum Health India Youtube link:

https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1

Advantum Health Threads link:

https://www.threads.net/@advantum.health.india

HR Dept

Advantum Health Pvt Ltd

Cybergateway, Block C, Hitech City, Hyderabad

Ph: 9059683624, 9100337774, 7382307530, 8247410763

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