Provider Enrollment / Credentialing (Medicaid)

Ultipro; Bengaluru; On-site; INR 400,000 - 650,000; Full time

Job summary

Ultipro in Bengaluru is seeking an Executive-level Credentialing specialist to support client operations. The role emphasizes maintaining HIPAA-compliant processes, handling day-to-day credentialing duties, and collaborating with supervisors to resolve issues.

Responsibilities include trend analysis, ensuring adherence to SLAs, and participating in trainings to enhance credentialing knowledge while upholding confidentiality and quality standards.

Qualifications

• Knowledge of credentialing processes and HIPAA compliance.
• Ability to manage day-to-day activities and meet deadlines.
• Willingness to participate in meetings and trainings.

Responsibilities

• Provide credentialing expertise for clients and manage system downtime escalation.
• Report issues, trend analysis, and solutions to Supervisors.
• Maintain patient confidentiality and adhere to HIPAA policies.
• Ensure adherence to turnaround times and SLAs defined by the client.
• Attend meetings and training to enhance credentialing knowledge.

Job description

Job Category: Executive

Requisition Number: CREDE002054

• Full-Time
• On-site

Locations

Showing 1 location

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.