Senior Associate - Credentialing

Job description

Create the future of e-health together with us by becoming a Senior Associate - Credentialing At CompuGroup Medical, our mission is to build groundbreaking solutions for digital healthcare. We aim to revolutionize how healthcare professionals produce, access, and utilize information, enabling them to focus on the core value of their work: patient outcomes. As one of the Best in KLAS organizations in the industry, we offer a full scope of Electronic Health Records (EHR), Billing, Payment services, and Revenue Cycle Management (RCM) services. We provide our team members with the training and solutions to grow across various technologies and processes. What you can expect from us: High Performing Team: You will be part of a close-nit, elite team within CGM that will move fast, with accuracy and hit deadlines with confidence. In-Person Team Environment: The role and the team will be onsite in Noida. We’re making work human again. No more working with people that you never meet in person. In this role, you will build in-person relationships with your team, and friendships for years to come. Comprehensive Benefits: Extensive group health and accidental insurance programs. Seamless Onboarding: A safe digital application process and a structured onboarding program. Engagement Activities: Tons of fun at work with engagement activities and entertaining games. Career Growth: Various career growth opportunities and a lucrative merit increment policy. Flexible Transportation: Choose between a self-transport allowance or our pick-up/drop-off service. Subsidized Meals: Enjoy our kitchen and food hall with subsidized meals, for your convenience. Key Responsibilities & Duties: Ensure credentialing processes are following professional standards, bylaws, state and federal regulatory requirements. Oversee day-to-day operational credentialing and privileging activities. Collaborating with the Credentialing Manager to ensure proper functioning of activities, policies, and procedures. Acting as a resource and subject matter expert, resolving issues, Coordinating with Credentialing contacts regarding the credentialing process. Verifying primary source data, such as provider education, board certifications, licensure, and other eligibilities /documents. Ensuring timely credentialing and re-credentialing of network providers and working with Internal/External Team to ensure credentialing files completed within timeframe and compliance. Calling Payers for Enrollment application status and take necessary action. Qualification/Experience: Minimum 2 years of experience in Credentialing in US RCM industry. Should have knowledge in CAQH modules, provider enrollment. Overall, should be expertise with CAQH. Candidate should be a graduate. Basic knowledge about Internet Concepts, Windows, Micorsoft ,Adobe products. Should possess strong documentation and presentation skills. Should be flexible to work in shifts, based on business need. Convinced? Submit your application now! Please make sure to include your salary expectations as well as your earliest possible hire date. We create the future of e-health. Become part of a significant mission.