Process - Credentialing
Designation: Credentialing and Enrollment Specialist
Office Location - Mohali
Experience Required - 2 - 4 years
Salary Range - 2,50,000 - 6,00,000 PA
Position Description - Can collect all the data and documents required for filing credentialing applications from the physicians.
Primary Responsibilities:-
· Maintain current and accurate data for all providers.
· Complete provider credentialing and credentialing applications; monitors applications and follows-up as needed.
· Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
· Maintains corporate provider contract files.
· Maintains knowledge of current health plan and agency requirements for credentialing providers.
· Sets up and maintains provider information in online credentialing databases and systems.
· Tracks license and certification expirations for all providers to ensure timely renewals.
· Sets up and maintains provider information in online credentialing databases and systems.
· Tracks license and certification expirations for all providers to ensure timely renewals.
· Ensures practice addresses are current with health plans, agencies, and other entities.
· Processes applications for appointment and reappointment of privileges to The Doctors Clinic (ASC).
· Processes applications for appointment and reappointment of privileges to The Doctors Clinic (ASC).
· Maintains ASC appointment files, and information in the credentialing database.
· Store the documents centrally on our secure document management systems
· Obtain the enrolment number from the payer and communicate the state of the application to the physician
· Obtain the enrolment number from the payer and communicate the state of the application to the physician,
· Periodic update of the document library for credentialing purposes.
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