Senior Executive
Senior Executive
Posted on :
06-04-2025
Employer Active
1 Vacancy
Job Alert
You will be updated with latest job alerts via emailValid email field required
Send jobs
Share
Send me jobs like this
Job Alert
You will be updated with latest job alerts via emailValid email field required
Send jobs
Job Description
Job Title : Senior Executive (Backend operations)
Qualification: Graduate (except B.Tech)
Location: Noida
Terms: Full Time
Shifts : Flexibility to work in Afternoon / Evening Shifts and Saturday if required.
Experience: 2 dedicated years in US Provider Credentialing role.
Process Responsibilities:
- Has deep knowledge of US Provider Credentialing.
- Knowledge on running the PSV checks identifying Hard Stops in a process.
- Should have Knowledge in Federal and Commercial payers credentialing process
- Good knowledge in Credentialing documents
- Good Knowledge in CAQH and PECOS applications
- Knowledge on running Board Certification
- Able to identify Malpractice Certificate
- Able to review provider account in client system if Credentialing and/or Networking is required.
- Able to review if provider is presented with applicable contract for agreement.
- Verify application & supporting documents to confirm that all of the information is correct and uptodate.
- Reach out to Provider via (email/phone) if any discrepancy is found during application review.
- Initiate Primary Source Verification for verifying the authenticityof provided documents like Education Licenses Malpractice etc
Operations Responsibilities:
- Knowledge ofworking in US Healthcare Provider side of business
- Maintain the quality in each task.
- Maintaining and increasing the efficiency of a business.
- Need to be flexible towards the shift due to business requirements.
- Problemsolving and analytical skills to identify and address challenges.
- Sound knowledge on working on MS Excel.
- Ability to effectively communicate with client over emails.
- Follow instructions shared by client
- Makes decisions within compliance of State and Federal Legislation as well as corporate and regional policies and strategies.
- Manages multiple tasks and demonstrates excellent time management skills.
- Should be able to comprehend clients requirements.
- Good oral and writtencommunication skills.
Required Experience:
Senior IC
Employment Type
Full-Time
Report This Job
Disclaimer: Drjobpro.com is only a platform that connects job seekers and employers. Applicants are advised to conduct their own independent research into the credentials of the prospective employer.We always make certain that our clients do not endorse any request for money payments, thus we advise against sharing any personal or bank-related information with any third party. If you suspect fraud or malpractice, please contact us via contact us page.
