Credentialing Specialist - US Healthcare RCM
- Location
- Noida, Uttar Pradesh, India
- Salary
- Not specified
- Company
- Akash pawar
Job description
• Role & Company / Project Overview RevCycleAce Pvt. Ltd. is seeking a Credentialing Specialist to support provider enrollment and credentialing operations within its US Healthcare RCM division. The position is essential for maintaining provider compliance and active participation with commercial and government health insurance plans. • Key Responsibilities & Daily Duties - Handle end-to-end provider credentialing, re-credentialing, and payer enrollment processes. - Complete, submit, and track applications with commercial insurers, Medicare, and Medicaid programs. - Maintain provider files, CAQH profiles, NPI details, state licenses, and malpractice insurance documentation. - Monitor credentialing application statuses, resolve payer queries, and ensure adherence to all verification standards. • Required Qualifications, Skills & Experience - 1 to 3 years of relevant experience in provider credentialing within US Healthcare RCM. - Comprehensive understanding of US payer credentialing guidelines, CAQH, and enrollment procedures. - Excellent communication, attention to detail, and analytical capabilities. - Immediate joiners are preferred. • Working Hours, Shifts & Location Details - Work Mode: Work From Office (WFO). - Work Location: Sector 63, Noida, Uttar Pradesh, India. • Application Instructions - Eligible candidates are invited to submit their CV via the designated recruitment email.