EMedicalPractice
Website:
emedpractice.com
Job details:
Company Description
eMedicalPractice, headquartered in Delray Beach, Florida, has been a trusted provider of healthcare technology solutions since 2008. We deliver fully integrated and customizable enterprise tools, including EHR, Practice Management, Telemedicine, Revenue Cycle Management, Billing, and more. Our solutions are crafted to improve workflow efficiency and enhance patient care for practices of all sizes and specialties across the United States. At eMedicalPractice, we prioritize innovation and excellence to empower healthcare professionals.
Role Description
This is a full-time, on-site role for a Provider Credentialing Specialist (US Healthcare) based in Mangalagiri. The primary responsibilities include managing the credentialing and re-credentialing process for US healthcare providers. The role involves working on CAQH, ensuring accurate and timely application submissions, and payer follow-ups to ensure timely provider enrollment and approvals. The role involves ongoing liaison with insurance providers, medical staff, and other stakeholders as part of the credentialing process. The candidate will also handle administrative tasks related to credentialing and respond to credentialing inquiries with a focus on accuracy and service quality.
Key Responsibilities
- Handle end-to-end provider credentialing process
- Create, update, maintain, and attestations CAQH profiles
- Prepare and submit applications to Medicare, Medicaid, and commercial payers
- Perform regular follow-ups with payers for status updates and drive approvals
- Build and Maintain accurate tracking of all credentialing activities
- Identify bottlenecks and improve workflow
- Verify provider documents (NPI, DEA, State License, Malpractice, etc.)
- Update internal systems with credentialing status
- Coordinate with internal teams and clients as required
- Support onboarding and training of new team members
Qualifications
- 4+ years in US healthcare credentialing
- Strong expertise in provider Credentialing processes
- Strong hands-on experience in: CAQH, Application submissions, and Payer follow-ups
- Excellent Communication and Customer Service skills to liaise effectively with stakeholders
- Familiarity with Medicare credentialing requirements and guidelines
- Experience handling end-to-end credentialing lifecycle
- Detail-oriented and capable of managing multiple tasks with strict deadlines
- Proficiency in healthcare-related software and technology tools is an advantage
- Ability to work independently without supervision
- Basic exposure to payer contracting or pricing is a plus.
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