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Credentialing Executive

Position : Credentialing Executive
No. of Positions : 1
Specialty : Coding Operations
Location : Chennai/Coimbatore
Objective : To perform audits as per SLA from client perspective

Roles & Responsibilities:

• Maintain individual provider files to include up to date information needed to complete the required federal and commercial payer credentialing applications.
• Maintain internal provider data to ensure all information is accurate and logins are available up-to date.
• Update each providers CAQH database file timely according to the priority norms.
• Complete re-validation requests for all federal payers.
• Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid.

• Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases.
• Ready and adaptable to perform the daily assigned duties with Quality.
• Thorough knowledge of CPT and ICD-10 coding for radiology procedures.
• Strong attention to detail, accuracy, and adherence to coding regulations.
• Proficiency in using coding software and electronic health record systems.

Contact:

Recruiter: Kaaviya
eMail: [email protected]

Job Category: Credentialing Executive
Job Location: Chennai

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