Credentialing Coordinator

About the Company

Credence Resource Management

About the Role

The Credentialing Coordinator will be responsible for managing provider enrollment and re-credentialing processes within the US Healthcare domain.

Responsibilities

• Provider enrollment & re-credentialing with payers
• Follow up with insurance companies via calls, emails & portals
• Maintain CAQH profiles and provider demographic data
• Coordinate with internal teams and payers for approvals
• Ensure compliance with payer guidelines

Qualifications

• Hands-on Credentialing experience (Provider side) required
• AR Callers with Credentialing exposure (Provider side) can apply
• Calling / Voice experience is mandatory

Required Skills

• Credentialing
• Provider Enrollment
• Re-Credentialing
• US Healthcare RCM
• AR Calling
• Payer Follow-ups
• Voice Process
• CAQH
• NPI
• Medicare
• Medicaid
• Commercial Insurance
• Insurance Verification
• Demographics Update
• Portal Access
• Email & Telephonic Follow-ups
• Documentation
• Compliance
• US Shift Calling
• Healthcare Operations

Preferred Skills

• Experience in US Healthcare Provider-side

Pay range and compensation package

Not specified

Equal Opportunity Statement

Credence Resource Management is committed to diversity and inclusivity in the workplace.

APPLY: ajey.singh@in.credencerm.com

NOTE: Only relevant US Healthcare Provider-side profiles will be considered.