01Overview
Company Description iSource ITES is a people-driven healthcare BPO/KPO with over 18 years of experience, headquartered in California and supporting clients across the healthcare sector. The organization focuses on revenue cycle management, healthcare documentation management, real-time accessibility, and healthcare IT services. iSource delivers billing, coding, automation, and analytics solutions that reduce financial and administrative burdens on healthcare providers. The company values creating happiness for employees and enthusiastic customers, fostering a culture of growth and excellence. iSource positions itself as a place for professionals who want to develop their skills and become leaders in their field.
Key Responsibilities : End-to-End Credentialing
Own the complete provider credentialing and payer enrollment process from initiation through approval.
Handle initial credentialing, re-credentialing, revalidation, provider updates, and termination requests.
Coordinate provider enrollment with commercial, Medicare, Medicaid, and managed care payers.
Maintain accurate credentialing records and provider files.
Provider Enrollment
Complete and submit provider enrollment applications through CAQH, PECOS, NPPES, Availity, and payer portals.
Ensure all applications are complete, accurate, and submitted within established timelines.
Follow up with payers until enrollment is completed.
Documentation
Management
Collect, verify, and maintain all required provider documentation including:
Medical License, DEA Certificate, Board Certification, Malpractice Insurance, NPI Registration, CV State Certifications
Monitor expiration dates and initiate renewals proactively.
Payer
Communication
Serve as the primary point of contact with insurance payers.
Track application status through payer portals and direct communication.
Resolve credentialing issues, deficiencies, and enrollment delays.
CAQH & Provider Profile Management
Maintain and update CAQH profiles.
Perform quarterly attestations.
Ensure provider information remains current across all credentialing platforms.
Verify provider credentials against regulatory standards.
Ensure compliance with NCQA, CMS, Medicare, Medicaid, and payer-specific guidelines.
Maintain confidentiality and HIPAA compliance. Reporting & Tracking
Maintain credentialing trackers and dashboards.
Required
Skills
End-to-end provider credentialing experience.
Strong knowledge of provider enrollment processes.
Experience with Medicare, Medicaid, and commercial payer enrollment.
Hands-on experience with: CAQH, PECOS, NPPES, Availity, Payer Portals
Excellent documentation and organizational skills.
Strong communication and follow-up skills.
Ability to manage multiple providers and deadlines simultaneously.
Advanced Microsoft Excel knowledge.
Preferred
Qualifications
Bachelor's Degree (preferred).
5+ years of provider credentialing experience.
Experience working with US Healthcare Revenue Cycle Management companies is preferred. .
