Company Overview

Total RCM Solutions is a revenue cycle management company that provides services to healthcare providers in the United States. With over 100+ years of industry experience, the professional team at Total RCM Solutions is dedicated to applying processes that cater to diverse practice needs and goals. Headquartered in Bangalore, the company offers comprehensive RCM services, including back office support, appeal management, claims review, and patient services.

Job Overview

We are seeking a dedicated Credentialing Specialist to join our team at Total RCM Solutions in Bangalore. This is a full-time position that requires strong organizational and communication skills. The ideal candidate will have a deep understanding of credentialing processes and will be responsible for ensuring that all necessary credentials for healthcare providers are accurately maintained and updated.

Qualifications and Skills

• Possess excellent attention to detail to ensure accuracy in maintaining credentialing records and documentation.
• Demonstrate strong organizational skills to manage multiple tasks efficiently and meet tight deadlines.
• Exhibit exceptional communication skills to effectively liaise with healthcare providers and institutions.
• Utilize analytical skills to assess and verify credentialing documents and compliance requirements.
• Practice effective time management by balancing various tasks and ensuring timely completion of credentialing processes.
• Have a thorough knowledge of credentialing processes and familiarity with necessary accreditation and compliance protocols.
• Showcase problem-solving skills to address discrepancies and improve credentialing processes.
• Proficient in computer applications to manage credentialing data and facilitate communication and documentation.

Roles and Responsibilities

• Manage and maintain accurate records of healthcare providers' credentials and renewal schedules.
• Ensure compliance with industry standards and regulatory requirements during the credentialing process.
• Facilitate communication and address queries from healthcare providers regarding credentialing matters.
• Coordinate with multiple stakeholders to gather necessary documentation for credentialing and re-credentialing.
• Review and verify practitioners' qualifications, licenses, and certifications to ensure validity and accuracy.
• Monitor expirations of credentials and initiate timely renewals to maintain active status for providers.
• Identify process improvements and work towards streamlining credentialing operations.
• Support the development and implementation of credentialing policies and procedures to enhance efficiency.