Head of Strategic Pricing and Growth

• Should have worked as a Credentialing Analyst 2 - 3 years for medical billing service providers
  
• Good Knowledge in Provider credentialing (Doctor side).
  
• Experience in Insurance calling.
  
• Good knowledge in filling insurance enrolment applications.
  
• Good experience in CAQH, PECOS application.
  
• Experience in Medicare, Medicaid, Commercial insurance enrolment.
  
• 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
  

Requirements

• Proficiency in MS word and excel
  
• High command over communication, especially English
  
• Positive attitude to solve problems
  
• Willingness to work in night shifts
  
• Graduate degree in any field
  

Benefits

• Health Insurance - Self and family (if married)
  
• Accident Coverage Policy
  
• Soft Skill Training
  
• Job Training
  
• Team Outings
  
• Cafeteria
  
• Period Leave (for female candidates)
  
• Work from Home
  
• Maternity/Paternity Leave per TN Govt Mandate - Pursue career goals while growing your family.