Credentialing Analyst

Mbw Rcm; Chennai; On-site; INR 300,000 - 420,000; Full time

Job summary

MBW RCM is seeking a Credentialing Analyst to support physician credentialing and medical billing processes. The role involves collecting data, managing enrollments, and communicating with payers to ensure timely credentialing filings.

The ideal candidate will have 1+ year of relevant experience and strong attention to detail. Willingness to work night shifts is required, along with a graduate degree and solid communication skills.

Qualifications

• Should have worked as a Credentialing Analyst for at least 1 year with medical billing service providers.
• Good knowledge in Provider credentialing (Doctor side).
• Experience in Insurance calling.
• Good knowledge in filling insurance enrolment applications.
• Good experience in CAQH, PECOS application.
• Experience in Medicare, Medicaid, Commercial insurance enrolment.
• Positive attitude to solve problems
• Willingness to work in night shifts
• Knowledge of generating aging report
• Strong communication skills with a neutral accent
• Graduate degree in any field

Responsibilities

• Collect data and documents for credentialing applications from physicians.
• Store documents centrally on secure document management systems.
• Understand top payers and initiate contact with payers.
• Apply payer-specific formats after audit.
• Follow up with payer to track status of applications.
• Obtain enrolment number from payer and update physician.
• Periodically update credentialing document library.

Skills

Credentialing analysis

Medical billing

Payer communication

Documentation management

CAQH

PECOS

Provider credentialing

Night shift readiness

Aging report

Communication skills

Education

Graduate degree

Tools

CAQH

PECOS

Job description

Enhance your career with MBW RCM, a rapidly expanding leader in offshore medical billing. At MBW, we believe "normal" is overrated - here, you'll have exciting opportunities to learn, grow, and work closely with clients to advance your career. We offer competitive salaries in line with industry standards, plus a range of attractive benefits. Join us and take your professional journey to new heights!

Job Description

• Collect all the data and documents required for filing credentialing applications from the physicians
• Store the documents centrally on our secure document management systems
• Understand the top payers to which the practice sends claim and initiate contact with the payers
• Apply the payer-specific formats after a due audit
• Timely follow-up with the Payer to track application status
• Obtain the enrolment number from the Payer and communicate the state of the application to the physician
• Periodic updates of the document library for credentialing purposes

Desired Candidate Profile

• Should have worked as a Credentialing Analyst for at least 1 year with medical billing service providers
• Good Knowledge in Provider credentialing (Doctor side).
• Experience in Insurance calling.
• Good knowledge in filling insurance enrolment applications.
• Good experience in CAQH, PECOS application.
• Experience in Medicare, Medicaid, Commercial insurance enrolment.
• Positive attitude to solve problems
• Willingness to work in night shifts
• Knowledge of generating aging report
• Strong communication skills with a neutral accent
• Graduate degree in any field