Job descriptionGreetings from Lincoln reimbursement solutions (Direct Client) !!Role : Senior AR Caller & Credentialing specialistLocation : Chennai (WFH)Experience : 3 Years to 7 YearsNotice Period : Immediate with Joining Bonus 15KBenefits:Salary Credit on 25th Every monthPF & 20 Lakh ICICI Health And Personal InsurancePermanent work from homeRoles & Responsibilities AR Caller: Must have experience with Net Health EHR software; otherwise, will not be considered. Review and submit medical claims to insurance companiesVerify insurance coverage and eligibility for patientsFollow up on unpaid claims and denialsResolve billing discrepancies and appeal denied claimsMaintain accurate and up-to-date billing records Role & responsibilities Roles & Responsibilities Credentialing:We are seeking a meticulous and organized Credentialing Specialist to oversee and manage the credentialing process for healthcare providers. The ideal candidate will ensure all providers meet the necessary requirements to participate with insurance plans and maintain compliance with regulatory standards. This role is critical to supporting operational efficiency and ensuring uninterrupted patient care services. Coordinate and complete initial credentialing and re-credentialing applications for healthcare providers. Verify provider information, including licensure, certifications, education, training, work history, and malpractice coverage. Manage provider enrollment with insurance companies, Medicare, Medicaid, and other payers. Track application statuses and follow up with insurance carriers and providers as necessary to ensure timely approvals. Interested candidates, please share your profiles to Email ID recruiting@lincolnrs.com with the following Application Question(s):How many years of experience do you have in AR caller/Credentialing?If you are an AR caller, how long have you worked in Net Health?What is your last take-home salary?What is your expected take-home salary?May I know your notice period?

Job descriptionGreetings from Lincoln reimbursement solutions (Direct Client) !!Role : Senior Credentialing specialistLocation : Chennai (WFH)Experience : 4 Years to 7 YearsBenefits:Salary Credit on 25th Every monthPF & 20 Lakh ICICI Health And Personal InsurancePermanent work from home Reports To: Credentialing Manager Job Summary:The Credentialing Specialist is responsible for managing the end-to-end credentialing and recredentialing process for healthcare providers with various insurance payers, including HMOs, IPAs, Medicare, Medicaid, and commercial insurers. This role ensures compliance with federal, state, and payer-specific regulations while maintaining accurate provider records to facilitate seamless billing and reimbursement.Key Responsibilities:1. Provider Credentialing & EnrollmentProcess and submit credentialing applications to Medicare (PECOS), Medicaid, HMOs, IPAs, and commercial payers.Ensure timely enrollment in CAQH, NPPES, and payer-specific portals.Track application statuses and follow up with payers to resolve delays.2. Provider File & Database ManagementMaintain individual provider files with up-to-date documentation (licenses, DEA, board certifications, malpractice insurance, etc.).Keep an organized tracking log for all contracted Managed Care Organizations (MCOs), Medicare, Medicaid, and CAQH updates.Ensure all provider portal logins (PECOS, NPPES, CAQH, payer systems) remain active and accessible.3. Compliance & RevalidationMonitor and renew state licenses, DEA registrations, board certifications, and malpractice insurance before expiration.Ensure CAQH profiles are attested and updated per CMS and payer schedules.Stay updated on Medicare/Medicaid and MCO credentialing regulations.4. Provider & Payer CommunicationWork directly with providers to collect and verify required credentialing documents.Serve as a liaison between providers, billing teams, and insurance payers to resolve credentialing issues.Notify management of any credentialing delays that may impact billing.Qualifications & Skills:4+ years of credentialing experience in US medical billing, preferably with HMOs, IPAs, Medicare, and Medicaid.Strong knowledge of CAQH, PECOS, NPPES, and payer enrollment portals.Familiarity with provider enrollment forms (CMS-855I, CMS-855O, etc.).Detail-oriented with strong organizational and tracking skills.Ability to manage multiple deadlines and prioritize workload. Interested candidates, please share your profiles to Email ID recruiting@lincolnrs.com with the following Application Question(s):How many years of experience do you have in Credentialing?Do you have WFH setup?What is your last take-home salary?What is your expected take-home salary?May I know your notice period?

Job descriptionGreetings from Lincoln reimbursement solutions (Direct Client) !!Role : Senior AR Caller Eligibility Verification & Prior AuthorizationLocation : Chennai (WFH)Experience : 4 Years to 7 YearsBenefits:Salary Credit on 25th Every monthPF & 20 Lakh ICICI Health And Personal InsurancePermanent work from home Reports To: AR Manager Job Summary: The Senior AR Caller is responsible for verifying patient insurance eligibility, obtaining prior authorizations, and resolving claim-related issues to ensure timely reimbursement. This role requires expertise in navigating payer portals, interpreting insurance benefits, and communicating with insurance representatives to prevent claim denials.Key Responsibilities:1. Insurance Eligibility VerificationVerify real-time patient eligibility using payer portals (Availity, Navinet, Change Healthcare, etc.) and phone calls.Confirm active coverage, benefits, copays, deductibles, and plan limitations.Document verification details in the practice management system (PMS) for clean claim submission.2. Prior Authorization (PA) & Referral ManagementIdentify procedures requiring prior authorization based on payer policies.Submit PA requests via portals, fax, or phone and track approvals.Escalate urgent/expedited authorizations when necessary.Ensure authorizations are linked to claims to prevent denialsQualifications & Skills:4 + years in medical billing AR, with expertise in eligibility verification & prior auth.Proficiency in payer portals (Availity, ePACES, CoverMyMeds) and PMS (Epic, Cerner, NextGen, etc.).Strong knowledge of HIPAA, CMS guidelines, and insurance policies (Medicare, Medicaid, Commercial, HMOs).Ability to interpret EOBs, CPT/HCPCS codes, and medical necessity requirements.Excellent phone etiquette and negotiation skills for payer calls. Interested candidates, please share your profiles to Email ID recruiting@lincolnrs.com with the following Application Question(s):How many years of experience do you have in Eligibility Verification & Prior Authorization?Do you have WFH setup?What is your last take-home salary?What is your expected take-home salary?May I know your notice period?