Credentialing Lead - RCM

• Manage end-to-end provider credentialing & enrollment

• Handle initial, re-credentialing, revalidation, updates & terminations

• Coordinate Medicare, Medicaid, commercial & managed care payers

• Submit applications via CAQH, PECOS, NPPES, Availity, portals

• Maintain provider files, documentation & certifications

• Ensure compliance with NCQA, CMS & HIPAA

• Track applications, resolve issues & report via dashboards

Overview

• Industry - IT - Consulting Services / Advisory Services
• Job Role - Credential Lead
• Employment type - Full Time - Permanent
• Work Mode - In Office

Qualifications

• Any Graduate - Any Specialization
• Any Post Graduate - Any Specialization
• Any Doctorate - Any Specialization

Job Related Keywords