Job Description

We are looking for a Credentialing Specialist with 4+ years of experience in the Healthcare Revenue Cycle Management (RCM) domain. The ideal candidate should have expertise in credentialing and enrollment processes for healthcare providers. Responsibilities: Manage end-to-end provider credentialing and enrollment with insurance payers. Verify and process provider applications, licenses, certifications, and other necessary documents. Maintain accurate provider records in compliance with healthcare regulations and payer requirements. Ensure timely renewals and updates of provider credentials. Communicate with insurance companies, medical professionals, and internal teams to resolve credentialing issues. Stay updated with industry regulations, payer policies, and credentialing requirements. Requirements: Minimum 4+ years of experience in provider credentialing within the RCM (Revenue Cycle Management) domain. Strong understanding of insurance enrollment, CAQH, NPI, Medicare, and Medicaid credentialing . Excellent knowledge of credentialing software and healthcare compliance. Strong communication and problem-solving skills. Ability to handle multiple tasks and meet deadlines efficiently. Preferred Skills: Experience in US healthcare credentialing is an added advantage. Proficiency in credentialing tools and databases. Knowledge of HIPAA and payer compliance guidelines. Employment Type: Full-Time Work Location: Coimbatore Share Resume: Shifana.u@247mbs.com