
Credentialing Specialist
9 hours ago
Job Title: Senior Credentialing Specialist
Experience: 5 to 8 Years
US Shift: 4:30 Pm to 1:30 Am
Mode of Work: Work From Office
Work Location: Chennai - Valasaravakkam
Transportation: Cab Provided (Only for Female Employees)
Interested candidates send your cv to
Job Summary:
We are seeking an experienced Credentialing Specialist with a strong background in Accounts Receivable (AR) calling.
Credentialing Duties:
- Prepare, submit, and track applications for provider credentialing and re-credentialing with insurance payers and healthcare organizations.
- Maintain up-to-date provider files, licenses, certifications, and other required documents.
- Monitor credentialing deadlines and proactively manage expirations and renewals.
- Communicate with providers and insurance companies to resolve credentialing issues.
AR Calling Duties:
- Perform follow-ups with insurance companies regarding unpaid or denied medical claims.
- Investigate and resolve claim issues to ensure timely payments.
- Document all actions taken and responses received during AR calling activities.
- Collaborate with billing and coding teams to address claim discrepancies.
- Maintain daily productivity and quality standards in AR follow-ups.
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