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Credentialing Specialist
NationsBenefits, LLC
Hyderabad, IND
Full-time
Mid · 3+ years experience
Hybrid
Discovered 1 weeks ago
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Credentialing Specialist
Employment Type: Full-time
Location
- Hyderabad
- Experience: 3 to 5 Years
- Joining: Immediate to 30 Days
- Shift: US Shift / Night Shift - 5PM to 2AM IST
- Work Model: 4 Days Work From Office, 1 Day Work From Home.
Objective and Overall Purpose
Individuals in the Credentialing Specialist role will be responsible for overseeing the credentialing and re-credentialing of providers that participate in the various NationsBenefits provider networks. This individual will communicate directly with hearing and vision care providers and work collaboratively with the Provider Support, Hearing, and Vision operations teams. This role requires excellent interpersonal skills to communicate effectively. They must be a positive, energetic individual with strong organizational skills, attention to detail and ability to multi-task. Basic to intermediate knowledge of Excel is required.
Tasks and Responsibilities
- Maintain records for individual rendering Providers who have been credentialed and/or have applied for credentialing.
- Process, record, and track Provider Credentialing documents and data in processing systems.
- Effectively manage follow up calls and email.
- Monitor faxes, files and other sources of incoming Provider data notifications to ensure that Provider credentialing data is processed in a timely manner.
- Communicate with providers to obtain updated documents as needed during and after credentialing process.
- Maintain and properly store both electronic and hard copies of credentialing files.
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