Credentialing Specialist

GetixHealth; Bengaluru; On-site; INR 600,000 - 800,000; Full time

Job summary

GetixHealth is seeking a qualified professional to join their team in Bengaluru, India, focusing on US Healthcare Revenue Cycle Management. Candidates should have experience in Provider Enrollment and Credentialing, along with excellent communication and interpersonal skills.

The role involves continual development in Credentialing specialties, managing day-to-day activities, and ensuring strict adherence to client SLAs. Here, you will contribute to maintaining patient confidentiality while navigating a dynamic work environment.

Qualifications

• 1+ years’ experience in US Healthcare Revenue Cycle Management.
• Experience in Provider Enrollment/Credentialing.
• Good understanding and working experience of End-to-End Claim Resolution model.

Responsibilities

• 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.
• Provide trend analysis of issues and solutions to the Supervisors.

Skills

US Healthcare Revenue Cycle Management

Provider Enrollment/Credentialing

End-to-End Claim Resolution

Communication Skills

Adapting to Change

Job description

Qualifications

• 1+ years’ experience in US Healthcare Revenue Cycle Management.
• 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.

Responsibilities

• 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 instruction, 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.