Job Description
Designation
Associate - Credentialing
Location
Sri Lanka
Work Week
Monday to Friday
Shift
7:30pm to 4:00am (Night shift)
Other Details
6 months contract US calendar applicable
Key Responsibilities Include:
- Credentialing application submission & follow-up to be carried out efficiently according to the daily production targets specified by management.
- Generate Credentialing reports, analyze and work based on priority levels.
- Download/verify correspondences related to Credentialing function from Box, SFTP and EHR.
- Ensure daily Credentialing follow ups carried out as expected.
- Ensure proper analysis being done before reaching out to insurance representatives and resolve internal gaps identified/eliminated.
- Develop a Credentialing Plan and Root Cause analysis and share with management for review.
- Ensure payer approval rate is achieved as expected for the assigned client(s).
- Act as the point of contact for the assigned client for internal and external queries.
- Ensure QA reports are reviewed, fixed and responded back to the QA teams within 24 hours.
- Ensure to respond back to all internal emails within the shift time.
- Enforce company regulatory standards to ensure the area of responsibility is in compliance with HIPAA and ISO standards.
- Daily and weekly assigned reports to be shared within the given timelines.
How to Apply
- Please visit our career portal at www.healthreconconnect.com/careers/, select the relevant vacancy and click on the Apply Now button to apply.
- Your application would NOT be considered without a CV.
- Please review the criteria and other information listed on this job advertisement thoroughly prior to applying.
- Please pay specific attention to the workload, shift details, and other features of the job.
- All applications will be reviewed in the order in which they were received and only the candidates shortlisted for the first round of interviews will be contacted due to the large volume of applications we receive. Thank you for understanding.
About HealthRecon Connect
HealthRecon Connect provides technology-enabled Revenue Cycle Management solutions to U.S. healthcare providers. The company leverages deep domain expertise and advanced analytics to deliver efficient revenue cycle management and compliant workflows.
HealthRecon Connect is an Equal Opportunity Employer.
Address: 56, Dudley Senanayake Mawatha, Colombo 08, Sri Lanka
