Credentialing Analyst

2 weeks ago

Noida, India Revsyntech Full time

We are looking for a Credentialing Specialist with hands-on experience in US healthcare provider enrollment and credentialing. The ideal candidate will be responsible for managing provider applications, maintaining compliance with payer requirements, and ensuring timely approvals through accurate documentation and proactive follow-ups.

Role & responsibilities

  • Manage provider credentialing and re-credentialing with insurance companies, hospitals, and networks.
  • Prepare, review, and submit applications and supporting documents as per payer requirements.
  • Maintain CAQH profiles, NPI registrations, state licenses, and other provider databases.
  • Track application status, follow up with payers, and resolve credentialing issues promptly.
  • Ensure compliance with HIPAA and healthcare regulations.
  • Collaborate with internal teams and providers for accurate data and timely updates.

Desired Candidate Profile

  • 1-4 years of experience in US healthcare credentialing/RCM.
  • Strong knowledge of CAQH, NPI, PECOS, and payer portals.
  • Excellent communication and coordination skills.
  • Ability to handle multiple tasks with attention to detail and deadlines.
  • Proficient in MS Office (Word, Excel, Outlook).

Perks and Benefits

  • Competitive salary package with performance-based incentives.
  • Opportunity to grow with a fast-scaling organization.
  • Supportive work culture and learning-driven environment.
  • 5 Day Working

Interested candidates can apply directly via Naukri or share their updated CV

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