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- Prioritize and Manage Provider Enrollments: Set up and maintain CAQH/PECOS profiles, complete provider enrollments with Medicare and private payers, and establish ERA and EFT enrollments.
- Optimize Reimbursement Performance: Maintain accurate provider-payer data, verify credentials, and provide timely updates on panel availability.
- Streamline Enrollment Process: Develop quality assurance processes, perform appeals for closed panels, and ensure seamless enrollment submissions.
- Coordinate Out-of-Network Enrollments: Complete NPI registrations and follow up on application status for providers outside the network.
- Maintain Confidentiality and Adhere to HIPAA Guidelines: Ensure the highest level of confidentiality and comply with all relevant regulations.
- Minimum 6 months to 1 year of experience in healthcare administration
- Excellent written and verbal communication skills
- Working knowledge of Microsoft Office basics
- Prioritization and multi-tasking skills
- Ability to maintain strict confidentiality and adhere to HIPAA guidelines
Credentialing Specialist" - Ahmedabad - Aqkode Healthcare Services & Solutions

Aqkode Healthcare Services & Solutions Ahmedabad
2 weeks ago

Description
Job Summary
We are seeking a highly skilled and detail-oriented individual to join our team as a Provider Enrollment Specialist. The ideal candidate will have a minimum of 6 months to 1 year of experience in healthcare administration, excellent communication skills, and a strong understanding of Microsoft Office.
Key Responsibilities
Requirements