Credentialing Executive

3 days ago

Chennai, Tamil Nadu, India Al Fahad Full time ₹ 3,60,000 - ₹ 7,20,000 per year

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:

We are seeking an experienced Healthcare Credentialing Executive to manage and maintain the credentialing process for healthcare providers. The ideal candidate will have hands-on experience in working with Cigna, CAQH, Medicare, and other healthcare networks, ensuring all provider credentials are up-to-date and compliant with regulatory standards.

Key Responsibilities:

  • Manage and process provider credentialing and re-credentialing applications accurately and within set timelines.
  • 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)

Job Type: Full-time

Pay: ₹35, ₹55,000.00 per month

Work Location: In person

  • Hiring Manager-Credentialing and ATL

    21 hours ago

    Chennai, Tamil Nadu, India Healthrecon Connect Full time ₹ 12,00,000 - ₹ 36,00,000 per year

    "HealthRecon Connect LLC provides technology-enabled Revenue Cycle Management (RCM) solutions to US healthcare providers. We leverage over 30 years of deep domain expertise, cutting-edge analytics as well as machine learning, Artificial Intelligence and Automated workflows to help improve cashflow, patient outcomes and enable peace of mind for our clients.We...

  • Associate Trainee

    2 weeks ago

    Chennai, Tamil Nadu, India iOPEX Full time ₹ 3,00,000 - ₹ 6,00,000 per year

    ResponsibilitiesManage the end-to-end credentialing, re-credentialing, and licensing for all healthcare providers and facilities.Execute provider enrollment and contracting with government and commercial insurance payers to ensure network participation.Maintain an accurate and compliant database of all provider credentials, licenses, and enrollment...

  • Business Development Executive

    3 days ago

    Chennai, Tamil Nadu, India Aegis Healthcare Solutions Inc. Full time ₹ 4,00,000 - ₹ 12,00,000 per year

    Company DescriptionAegis Healthcare Solutions Inc. is committed to transforming healthcare operations, allowing you to focus on providing exceptional patient care. Our expertise in charting, billing, credentialing, and compliance boosts cash flow and elevates patient satisfaction. By leveraging AI and advanced data analytics, we eliminate inefficient billing...

  • Solutions Executive

    3 days ago

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

    Solutions ExecutiveWe are looking for a Solutions executive to assist in Pre-sales efforts for the sales and account management teams towards acquiring new customers and growing revenue from existing customers, respectively.A strong understanding of the sales process is essential. The ability to connect the dots and take a creative leap of faith is...

  • Business Development Executive

    5 days ago

    Chennai, Tamil Nadu, India Auger Engineers Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    Company DescriptionAuger Engineers is a Green Building Design Consulting firm with a team of highly qualified Civil Engineers and Certified Green Building professionals experienced in building design and construction. Our team holds prestigious credentials from various national and international green building certification organizations, including LEED...

  • Retail Sales Executive

    2 weeks ago

    Chennai, Tamil Nadu, India Truman Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    Company DescriptionTruman is revolutionizing the retail staffing industry by creating the first-ever "On-Demand Retail Exclusive Workforce Platform," leveraging the gig economy to align workforce with sales seasonality. Operating across 1200+ cities globally, Truman helps businesses shift from traditional workforce models to taskforce deployment, paying only...

  • Senior Executive

    7 days ago

    Chennai, Tamil Nadu, India EXL Talent Acquisition Team Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    Senior Executive:Must have strong experience in CPT/ ICD 10-CM Coding, Modifiers, Anatomy and Physiology, Sound surgery and E&M knowledgeMust possess good communication skill with neutral accentInitiate telephone calls to provider office to communicate the outcome of the denial reviewWilling to work in Eastern shift.Must be spontaneous and have high energy...

  • Executive – Contract

    1 day ago

    Chennai, Tamil Nadu, India Ilios Digital Full time ₹ 1,20,000 - ₹ 1,80,000 per year

    Designation: Executive – ContractsExperience: FresherLocation: ChennaiAt Iliosdigital, our purpose is highly motivated Fresher to join our Bidding and Procurement Team. The candidate will assist in preparing and submitting competitive bids for projects as well as managing procurement activities to support business operations. This is an excellent...

  • Chief Ent Deal Soln Architect

    6 days ago

    Chennai, Tamil Nadu, India Cognizant Full time ₹ 20,00,000 - ₹ 25,00,000 per year

    You are a highly experienced Senior Director with 15 to 18 years of experience, looking to join a dynamic team. You possess extensive technical knowledge and have a proven track record in designing and implementing robust architectural solutions. In this role, you will be a strategic thinker who can drive innovation and ensure technology aligns with business...

  • Presales Executive

    3 days ago

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

    We are looking for a Presales Executive to support the Sales and Account Management teams in acquiring new customers and expanding value within existing accounts. This role requires a strategic thinker with a strong grasp of digital marketing, MarTech, analytics, and customer experience solutions. The ideal candidate should be able to connect the dots, take...