Job Details
Job DescriptionTCS Hiring for Provider Enrollment Coordinator in Hyderabad!Hiring for Roles: Provider Enrollment CoordinatorWork location: HyderabadShift: Comfortable to work in 247 environmentJob description: Ability to work within a deadline-intense environment Interact professionally with providers and staff representatives to provide information on any necessary documentation required for processing.
Plan, prioritize, organize and complete work to meet established objectives Track and follow up with providers for timely return of all required documents and applications .
Assists in synchronization of data among multiple systems Validates the data to be housed on provider databases and ensuring adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing Prepare the CAQH application for newly affiliated and existing healthcare providers Maintains credentialing databases and ensures up-to-date tracking of file process Display in-depth knowledge of and execute all standard operating procedures (SOPs) as well as communicating issues, trends, concerns and suggestions to leadership.
In-depth working knowledge of the various payer applications associated and the workflow process Ensure all workflow items are completed within the set turn-around-time, meeting quality expectationsLooking for someone with:.
3 years of experience in a centralized credentialing office and direct provider enrollment experience, such as credentialing or file maintenance, preferred with experience in Word and Excel Knowledge of health plan and governmental payer credentialing, enrollment and requirements acquired through completion of a CPCS certification course, or sufficient job-related experience with intent to pursue certification Knowledge of Microsoft Word and other PC applications including preferred experience in a medical staff electronic database system, ie.
MD Staff Knowledge of PECOS and State Medicaid Enrollment applications Knowledge of standards interpretation as related to NCQA Competent leadership skills with at least 5 years' experience in compliance, healthcare, operations, and/or safety and accreditation.
Desired Candidate ProfileBACHELOR OF SCIENCE ( BSc Degree )