Credentialing Specialist

2 days ago


Chennai, Tamil Nadu, India Cmpms Global Full time ₹ 9,00,000 - ₹ 12,00,000 per year

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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