Contact Info: +91 7993636919
Job Title: Credentialing Specialist – US HealthcareExperience: 5+ YearsJob Summary:
We are looking for an experienced Credentialing Specialist to manage end-to-end credentialing and provider enrollment for US-based physicians. The role ensures compliance with payer and regulatory requirements for timely approvals and reimbursements.
Key Responsibilities:
- Handle credentialing & re-credentialing for physicians
- Submit and track applications with Medicare, Medicaid & commercial payers
- Maintain provider profiles in CAQH and manage PECOS enrollment
- Verify licenses, certifications, education, and malpractice history
- Ensure compliance with CMS, NCQA, and state regulations
- Follow up with payers and resolve credentialing issues
- Maintain accurate provider records and documentation
Requirements:
- 5+ years of experience in US healthcare credentialing
- Hands-on experience with CAQH, PECOS, and payer portals
- Strong knowledge of credentialing workflows and regulations
- Excellent attention to detail and communication skills
Job Types: Full-time, Permanent
Pay: ₹50,000.00 - ₹60,000.00 per month
Benefits:
Work Location: In person
