AB7Solutions

Process - Credentialing 

Designation: Credentialing and Enrollment Specialist

Office Location - Mohali 

Experience Required - 2 - 4 years

Salary Range - 2,50,000 - 6,00,000 PA 

Position Description - Can collect all the data and documents required for filing credentialing applications from the physicians.

Primary Responsibilities:-

• Maintain current and accurate data for all providers. 
• Complete provider credentialing and credentialing applications; monitors applications and follows-up as needed.
• Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
• Maintains corporate provider contract files. 
• Maintains knowledge of current health plan and agency requirements for credentialing providers.
• Sets up and maintains provider information in online credentialing databases and systems.
• Tracks license and certification expirations for all providers to ensure timely renewals.
• Sets up and maintains provider information in online credentialing databases and systems. 
• Tracks license and certification expirations for all providers to ensure timely renewals.
• Ensures practice addresses are current with health plans, agencies, and other entities. 
• Processes applications for appointment and reappointment of privileges to The Doctors Clinic (ASC).
• Processes applications for appointment and reappointment of privileges to The Doctors Clinic (ASC). 
• Maintains ASC appointment files, and information in the credentialing database. 
• Store the documents centrally on our secure document management systems 
• Obtain the enrolment number from the payer and communicate the state of the application to the physician 
• Obtain the enrolment number from the payer and communicate the state of the application to the physician , 
• Periodic update of the document library for credentialing purposes.