Role Responsibilities : stylemargin:bottom:11.0px: : In:depth knowledge and experience in the US healthcare (Non Voice) : Provider Data Validation and Provider Data management. : Candidate should have 3years and above experience in US healthcare and into provider enrollment and credentialling. : Ensures day:day transactions are processed per standard operating procedures. : Follows Work process flow to ensure pends are completed and maintain Quality and timeliness standards. : Knowledge in Amisys and Cenprov application are preferred. : Product knowledge in checking affiliation for Medicaid, Medicare and Exchange. : Everyday checked Contract information in Payment Index such as, Pay class, override key, accepts code and etc. : Ability to read and understand the provider contract. : Handling Paid claims and recouped claims. : Claims Rejections handling. : Working in claims denial management. : Knowledge about End to End provider billing process. : Working knowledge in EDI rejection claims : Handing Patient and provider demographic changes. Required Skills : stylemargin:bottom:11.0px: : 3 to 5 years of experience in US healthcare working with Provider Data Enrollment and Management. : Ability to work in a 24/5 environment; shifts can be rotational . : University degree or equivalent that required 3+ years of formal studies. : Ability to work in a team environment. : Good logical thinking ability. : Good English Comprehension/written skills should have exposure to MS Office. : Good Communication Skills : Both Verbal and Written : Ability to interact with clients preferred. **Required schedule availability for this position is 24/5 and the shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend's basis business requirement.