Credentialing Specialist – RCM (US Healthcare)
Medibill LLP is hiring an experienced Credentialing Specialist to manage end-to-end provider enrollment and credentialing with US insurance payers.
Responsibilities:
- Handle provider credentialing with Medicare, Medicaid, and commercial payers
- Submit and track applications through CAQH, PECOS, and NPPES
- Manage re-credentialing and re-validation
- Follow up with payers for status updates
- Maintain provider records and documentation
- Coordinate with billing team to avoid claim denials due to credentialing issues
Requirements:
- 1–3 years of US healthcare credentialing experience
- Strong knowledge of CAQH, PECOS, EFT/ERA enrollment
- Good communication and follow-up skills
- Ability to work in US Shift (5 PM – 2 AM IST)
Immediate joiners preferred.
Job Types: Full-time, Permanent
Pay: ₹35,000.00 - ₹45,000.00 per month
Work Location: In person
