Credentialing Specialist – US Healthcare

1 week ago


Pune, Maharashtra, India EZ Settle Solutions Full time

Job Summary:

We are seeking a detail-oriented Credentialing Specialist to join our team. This role will be responsible for handling provider enrollments, maintaining credentialing records, and ensuring compliance with insurance payers and regulatory requirements.

Key Responsibilities:

Manage provider credentialing and re-credentialing processes with insurance payers, Medicare, and Medicaid.

Submit and track applications for provider enrollment, ensuring timely approvals.

Maintain accurate credentialing records and updates in credentialing software.

Work closely with payers, physicians, and internal teams to resolve credentialing issues.

Ensure compliance with industry regulations and payer policies.

Qualifications:

2+ years of experience in provider credentialing in US healthcare.

Knowledge of Medicare, Medicaid, and commercial insurance payer requirements.

Experience with credentialing software (e.g., CAQH, Availity, PECOS).

Strong attention to detail and ability to manage multiple tasks.

Excellent communication and problem-solving skills.

About Us:

EZ Settle Solutions is a revenue cycle management (RCM) company specializing in medical billing and credentialing services. We work with healthcare providers to streamline operations, improve cash flow, and ensure compliance with payer requirements.



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