Primary Duties and Responsibilities
✓ 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
✓ Should have worked as a Credentialing Analyst for at least 1-year medical billing service providers.
✓ Good Knowledge in Provider credentialing (Doctor’s side).
✓ Experience in Insurance calling.
✓ Good knowledge in filling insurance enrolment applications.
✓ Good experience in CAQH, PECOS applications.
✓ Experience in Medicare, Medicaid, Commercial insurance enrolment.