Credentialing Specialist

1 day ago


Islamabad, Islamabad, Pakistan CloudRCM Solutions Full time

At CloudRCM Solutions, we are seeking a skilled Credentialing Specialist to join our team.

This is an exciting opportunity for someone who wants to make a difference in the healthcare industry by ensuring accurate and timely provider credentialing.

The successful candidate will have a minimum of 2 years of experience in provider credentialing and possess excellent leadership and management skills. Strong communication and research skills are essential for this role.

We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.

Job Description:

  • Accurately complete credentialing applications for 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;
  • Assist in obtaining needed documentation from providers;
  • Prepare professional communication to providers, payers, and facilities;
  • Understand how provider credentialing impacts billing, contracts, and EDI;
  • Investigate solutions to problems and determine the best course of action;
  • Communicate clearly and professionally with team members, payers, and credentialing representatives;
  • Process ERA & EFT application;
  • Brief knowledge of Govt., MCOs, and commercial Insurances enrollments;

Requirements:

  • Minimum 2 years of experience in provider credentialing;
  • Leadership and management skills;
  • Good communication and research skills;

About Us:

CloudRCM Solutions is a leading provider of healthcare credentialing services. We are committed to delivering high-quality services that meet the needs of our clients. If you are passionate about healthcare and want to make a difference, join our team today



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