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| Job Title : | Credentialing |
| Qualification : | Any graduate |
| Relevant Experience : | 1 - 4 Years |
| Must Have Skills : | 1.Experience handling credentialing denials related to provider enrollment and claims 2. Collecting, reviewing, and verifying provider information, licenses, certifications, and Related documents from payors’ perspective 3. Strong knowledge of payor policies, payer -provider contracts, and compliance requirements 4. Excellent communication skills for liaising with providers and internal teams |
| Good Have Skills : | 1.Familiarity with insurance payor systems and workflows 2. Experience with US healthcare payor credentialing processes 3. Basic understanding of claim adjudication and denial management |
| Roles and Responsibilities : | 1.Review and verify provider credentials to ensure compliance with payor requirements 2. Manage and resolve credentialing denials, working closely with providers and internal payor teams 3. Maintain accurate records for audit and regulatory compliance purposes 4. Collaborate with payor teams to facilitate smooth provider enrollment and credentialing processes 5. Communicate effectively with providers and stakeholders to resolve credentialing issues promptly |
| Location : | Bangalore |
| CTC Range : | Max 5LPA |
| Notice Period : | Immediate joiners preferred |
| Mode of Interview : | Face to Face |
| Shift Timing : | US Shift |
| Mode of Work : | Work from Office |
Black & White
Incorporated in 2006, Black and White Business solutions Pvt Ltd has gradually developed today into a leading provider of manpower for some of the fortune 500 companies for their junior/ middle / senior and executive requirements. At Black and White Business Solutions, our sole job is to find indivi...
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