Credentialing Specialist

GetixHealth; Bengaluru; On-site; INR 450,000 - 650,000; Full time

Job summary

GetixHealth in Bengaluru is hiring a Credentialing Specialist to support US Healthcare Revenue Cycle Management and credentialing processes. You will develop expertise in client credentialing requirements and ensure accurate enrollment procedures.

The role emphasizes HIPAA compliance, timely credentialing activities, and strong communication with clients and internal teams. 1+ years of experience is preferred in a dynamic environment.

Qualifications

• 1+ years’ experience in US Healthcare Revenue Cycle Management.
• Experience in Provider Enrollment/Credentialing.
• Good understanding of End-to-End Claim Resolution model.
• Excellent interpersonal, verbal, and written communication skills.
• Ability to work in challenging environments and apply best-fit solutions.

Responsibilities

• Develop expertise in credentialing knowledge for respective clients.
• Report system downtime to Supervisors and manage work during downtime.
• Provide clarification; respond to questions; participate in meetings.
• Follow policies and procedures; complete tasks correctly and on time.
• Take responsibility for actions; keep commitments; dedicate time to goals.
• Approach others tactfully; stay composed under pressure; treat others with respect.
• Provide trend analysis of issues and solutions to Supervisors.
• Ensure adherence to defined TAT and SLAs by the client.
• Maintain patient confidentiality and HIPAA compliance.
• Attend meetings and training to enhance credentialing knowledge.
• Manage day-to-day activities.

Skills

US RCM

Credentialing

Claim Resolution

Communication

Adaptability

Job description

Required Candidate Profile

• 1+ years’ experience in US Healthcare Revenue Cycle Management.
• Should have an experience in Provider Enrollment/Credentialing.
• Good understanding and working experience of End-to-End Claim Resolution model.
• Excellent interpersonal, verbal, and written communication skills
• Demonstrate ability to work in challenging and changing work environments and apply methodologies to best-fit solutions.

Job Description

• Continual development to be an expert with knowledge of respective clients Credentialing specialties.
• Report any system downtime to respective Supervisors and manage the work in such situations.
• persuasively; provides clarification; responds well to questions; participates in and contributes to meetings.
• Follows policies and procedures; Completes tasks correctly and on time; Supports organization's goals and values.
• Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Willing to put in the necessary time to accomplish goals.
• Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
• Provide trend analysis of issues and solutions to the Supervisors.
• Ensure complete adherence to TAT and SLAs as defined by the client.
• Maintain patient confidentiality and strict adherence to HIPAA.
• Attending meetings and training to enhance Credentialing knowledge.
• Ability to manage the day-to-day activities.