Job Description

Location:

Chennai, India

Shift:

Night Shift (US Healthcare Process)

Experience Required:

2-4 years in US Healthcare Credentialing

Department:

Provider Enrollment & Credentialing

Reports To:

Operations Head

About the Role

We are looking for a

detail-oriented and proactive Credentialing Specialist

to join our fast-growing Revenue Cycle Management team. The ideal candidate will be responsible for managing the end-to-end credentialing and re-credentialing process for healthcare providers, ensuring compliance with payer requirements, and maintaining up-to-date records to support timely enrollments and renewals.

Key Responsibilities

Manage

provider credentialing, re-credentialing, and enrollment

with commercial and government payers (Medicare, Medicaid, BCBS, Aetna, Cigna, UHC, etc.). Complete and submit

CAQH profiles, NPI applications, and payer enrollment forms

accurately and within deadlines. Maintain an updated database of all provider information, including

licenses, certifications, malpractice insurance, and expirables.

Track and follow up with payers to ensure

timely enrollment approvals

and address any denials or rejections. Work closely with providers, practice managers, and internal teams to collect and verify credentialing documents. Update internal systems and communicate

status reports

to management and clients regularly. Ensure compliance with

NCQA, CMS, and payer-specific guidelines.

Assist in creating

SOPs and process documentation

to support scalability and efficiency.

Required Skills & Qualifications

Bachelor's degree or equivalent.

2-4 years of hands-on experience

in US healthcare credentialing or enrollment. Strong understanding of

CAQH, PECOS, NPPES, Availity, and payer portals.

Excellent communication and follow-up skills (both verbal and written). Strong organizational skills and attention to detail. Proficiency in MS Excel, Word, and basic CRM or RCM software tools. Ability to work in a

fast-paced environment

with minimal supervision.

Growth Opportunities

As part of a rapidly expanding RCM organization, the Credentialing Specialist will have opportunities to:

Lead small teams as the process scales. Cross-train in

Provider Enrollment, Eligibility, and Payer Contracting.

Participate in

automation and process improvement initiatives.

Job Types: Full-time, Permanent

Pay: ₹17,052.86 - ₹45,131.84 per month

Benefits:

Health insurance Paid sick time
Work Location: In person