Provider Credentialing Specialist

Company Description

RevGroMD enables growth in healthcare practice by providing expert revenue solutions. We navigate the complexities of provider enrollment, revenue cycle, and market dynamics so that you can focus on providing exceptional care. Our trio of essential services includes Insurance Credentialing, Revenue Cycle Management, and targeted Marketing Services to fortify your healthcare practice or facility.

Role Description

This is a full-time role for a Provider Credentialing Specialist based in Mohali. The Provider Credentialing Specialist will be responsible for managing the provider enrollment process, ensuring accurate and timely completion of credentialing applications, and maintaining credentialing files. They will also collaborate with internal teams and insurance companies to resolve any credentialing issues and ensure compliance with Medicare and other regulatory requirements.

Qualifications

• Excellent organizational and communication skills.
• Review and authenticate credentials, qualifications, licenses, certifications, and other relevant documents submitted by individuals or organizations.
• Follow Up with the insurance on provider enrollment
• Taking care of the provider's CAQH account, PECOS (Medicare Account), & application enrollment with Medicare & Medicaid.
• Ability to work independently

Skills Required

Revenue Cycle Management, medicare, credentialing, medicaid, provider enrollment