Posted Jan 20, 2022 5 views
Credentialing Executive will be responsible to:
- Review the approval and termination of professional provider contracts as they relate to the credentialing process.
- Ensure the accurate and timely information for the purposes of re-credentialing, data analysis and directory generation as well as recommending changes to the credentialing criteria and processes.
- Maintain all credentialing and re-credentialing policies and processes to ensure that they are in compliance with and all applicable regulations.
- Develop and implement departmental policies and procedures that guide and support the provision of services.
- Interact with all clients to ensure prompt and accurate communication as needed to provide the service expected and to meet the goals of the service.
- Develop new ideas and/or systems with innovation and creativity.
- Lead by example and serves as a professional role model.
- Responsible for the continuous assessment and improvement of the quality of care and services provided.
- Adhere to all Compliance & Integrity Program rules and requirements
- Manage all New Client Account Setups, Research and Development activities.
- Manage VAS (value added services), provider enrollment, claims submission and various other projects.
- Train and guide team members on new challenges in healthcare industry along with a keeping a close coordination with providers (clients).
Mandatory Requirements:
- Minimum 3 years of recent credentialing experience is required.
- Strong verbal & written communication skills and good in cross functional interactions & coordination
Job Details
HQ Analytics Inc
HQ Analytics is the leading provider of HealthCare Management services to the Solo Practitioners, Group practices, Hospitals and other Healthcare services Providers. We provide IT services, Software Development services, Accounting services, HRM services, Customer Support services and majorly Medical Billing services in USA. Our Head Office is in New York whereas back office is in Lahore, Pakistan.
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