Credentialing Executive

6 hours ago

Chennai Tamil Nadu, India al-fahad Full time

**Job Title**: Healthcare Credentialing Executive (Provider Side)
**Location**: Chennai
**Salary**: Up to ₹6 LPA
**Experience Required**: Minimum 2 Years
**Qualification**: Bachelor’s Degree or HSC

**Job Summary**:
**Key Responsibilities**:

- Work closely with insurance companies such as **Cigna, Medicare**, and other payers to verify provider participation.
- Maintain and update provider profiles in **CAQH** and other credentialing databases.
- Review and verify provider documents, licenses, certifications, and other credentials.
- Communicate with providers to obtain necessary information or documentation.
- Ensure compliance with **state, federal, and payer-specific** regulations and requirements.
- Track credentialing progress and maintain detailed reports.
- Coordinate with internal teams and insurance providers to resolve credentialing issues promptly.

**Key Skills and Requirements**:

- Minimum **2 years of experience** in **healthcare credentialing (provider side)**.
- Strong knowledge of **Cigna, CAQH, Medicare**, and payer credentialing processes.
- Excellent communication and documentation skills.
- Attention to detail and ability to manage multiple tasks efficiently.
- Proficiency in MS Office tools and credentialing software systems.
- Ability to work independently and as part of a team.

**Employment Type**:
Full-Time (Work from Office)

Pay: ₹35,000.00 - ₹55,000.00 per month

Work Location: In person

  • Credential Executive

    6 days ago

    Mogappair West, Chennai, Tamil Nadu, India Riamin Infotech Private Limited Full time

    Job role : Credential Executive Experience : 2 to 4 years **Salary**: 2 to 4 LPA Location: Mogappair West, Chennai. Pay: ₹200,000.00 - ₹400,000.00 per year **Benefits**: - Provident Fund Schedule: - Day shift Work Location: In person

  • Opening For Provider Credentialing

    4 weeks ago

    Chennai, India Digiclarity Global Solutions Full time

    We have an immediate job opening for Credentialing - Subject Matter Expert in medical billing US Healthcare Industry. Experience: 3 - 5 Years Salary: Best in the industry Job Location: Perungudi, Chennai Job Description: Responsible for leading the credentialing team members in daily tasks, work distribution to Credentialing Specialists of credentialing/re-...

  • Senior Executive

    2 weeks ago

    Chennai, Tamil Nadu, India EXL Service Full time

    JOB DESCRIPTION OCTSenior Executive Coding Auditor is responsible for performing an in-depth review of medical records to ensure that the assigned CPT HCPCS and Modifiers are supported by medical record documentation and procedures are coded as per the standing coding guidelines ESSENTIAL CRITERIA Bachelor of Science Degree Applicant must have current...

  • Tender Executive

    1 week ago

    Chennai, Tamil Nadu, India Primesource Consulting LLP Full time

    We're looking for **Jr. Tender Executive **with 0.6 to 1yr of experienceat Chennai location. The details are as follows: - The person must possess knowledge of working on **E-Tender portal.**: - Good knowledge of working on computer and MS excel. - Communication with customers on issues related to tendering. - Preparation of tenders/Rate Contracts, both...

  • Tender Executive

    1 week ago

    Chennai, Tamil Nadu, India Primesource Consulting LLP Full time

    We're looking for **Jr. Tender Executive**with 0.6 to 1yr of experienceat Chennai location. The details are as follows: - The person must possess knowledge of working on **E-Tender portal.**: - Good knowledge of working on computer and MS excel. - Communication with customers on issues related to tendering. - Preparation of tenders/Rate Contracts, both...

  • Chief Ent Deal Soln Architect

    2 days ago

    Chennai, Tamil Nadu, India Cognizant Full time

    **Job summary** **Responsibilities** Develop Solution Strategy Define the Solution area and the outcomes the team aims to achieve for customers Develop Overall Solution and differentiation against competitor trends with focus on tech evolution new threats Develop a vision and comprehensive strategy for the Solution as well as execution roadmap b....

  • Purchase Executive

    4 days ago

    Chennai, Tamil Nadu, India SONASHI ELECTRONIC PVT LTD Full time

    **Must need experience with purchase executive in electronics home appliances & basic knowledge of shipping will be preferable** Key Responsibilities - Research and source potential Suppliers based on requirement and specification - Build and maintain good relationships with new and existing suppliers - Compare and evaluate offers from suppliers. -...

  • Medical Billing Executive

    1 week ago

    Perungudi, Chennai, Tamil Nadu, India Lubdub Medical Technologies Pvt Ltd Full time

    A Medical Billing Executive oversees and manages all aspects of a hospital's billing and financial processes. They ensure accurate billing, timely claims processing, and adherence to healthcare regulations. Additionally, they resolve billing issues, manage accounts receivable, and may train billing staff. Key Responsibilities: - **Billing and Claims...

  • Pre-registration Executive

    2 days ago

    Guindy, Chennai, Tamil Nadu, India Elrevgen health care pvt Ltd Full time

    Hiring for **Pre-Registration Executive** **Core Responsibilities** **Collect and verify patient demographics** and insurance information prior to scheduled appointments **Contct patients** to confirm details and guide them through paperwork or digital onboarding **Update databases** with accurate, HIPAA-compliant records **Check eligibility and...

  • Sales Executive

    2 days ago

    Chennai, Tamil Nadu, India The Growth Hive Full time

    Key Responsibility Areas: 1. B2B corporate Tele Sales is a must. 2. Exp of talking at CXO (CEO, CFO, Dept Head, or any senior-level person) 4. Good Convincing abilities 5. Good command over Communication 6. Finding the customers, Industry-wise & Region wise from any Source platform. 7. Understanding the business opportunities. 8. Finding the numbers of the...