Harris Computer Systems Hiring for Credentialing Specialist at Mumbai, Maharashtra Full Time

Full Job Description
Responsibilities:
Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications
Maintain internal provider grid to ensure all information is accurate and logins are available
Update each provider’s CAQH database file timely according to the schedule published by CMS
Apply for and renew annually all provider licenses; Professional, DEA, Controlled Substance
Complete revalidation requests issued by government payers
Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid
Complete re-credentialing applications for commercial payers
Credential new providers and re-credential current providers with hospitals at which they hold staff privileges
Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to provider credentialing
Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases