Jatin Marwah

Credentialing Specialist

(Dec 2022 - Present)

• Organize and review credentialing and re-credentialing of Medical and Allied Health Care Professional Staff applications for completeness and accuracy
• Perform Primary source verification for initial and re-credentialing of assigned providers utilizing NCQA standards and other federal and state requirements
• Maintain CAQH Profiles for providers and making sure providers State License, CDS, DEA, Malpractice Insurance and other required documents/information up to date
• Complete Credentialing and re-credentialing applications for insurance companies; Monitor applications and follow-up as needed.
• Worked on correspondence received from Insurances related to credentialing and updating required documents/information for provider.

Eligibility Verification

(April 2016 - November 2022)

• Checking Eligibility of patients with different US Insurance Prior to their Appointments
• Checking If the services are covered and asking for Copays, Deductible and Coins Information
• Checking If referrals and authorization is required
• Handling Multiple clients Independently
• Working with Different SLA and Protocols for Different Clients
• Maintaining Production Data and Preparing Production Trackers

Accounts Receivable Analyst

• Worked on Initial and Denied Claims to collect the payments from Insurance companies
• To Interact with US representative and deals with claim to resolve the issue
• Analyze the Patients Accounts and resolving
• Worked on Rejections from clearing house and resolving the issue

AR Analyst

• Worked on Initial and Denied Claims to collect the payments from Insurance companies
• To Interact with US representative and deals with claim to resolve the issue
• Analyze the Patients Accounts and resolving
• Worked on Rejections from clearing house and resolving the issue