40 Caqh Jobs

As a Credentialing Analyst at our company, you will play a crucial role in ensuring the smooth functioning of medical billing services. Your responsibilities will include: - Working as a Credentialing Analyst for medical billing service providers. - Demonstrating good knowledge in Provider credentialing and clearing house setup. - Setting up Electronic Data Interchange (EDI) and Electronic Remittance Advice (ERA). - Establishing Insurance Portals (EFT) for efficient processes. - Handling Insurance calling and filling insurance enrollment applications. - Utilizing expertise in CAQH and PECOS applications. - Managing Medicare, Medicaid, and Commercial insurance enrollment. - Demonstrating a po...

As a Healthcare Credentialing Executive (Provider Side) in Chennai with a salary of up to 6 LPA, your role involves managing and maintaining the credentialing process for healthcare providers. Your experience in working with Cigna, CAQH, Medicare, and other healthcare networks will be crucial in ensuring that 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. - Maintain and update provider profiles in CAQH and other credentialing databases. - Review and verify provider documents, licenses, certifications, and other credentials....

Overview: As a Credentialing Executive, you will play a crucial role in ensuring that our healthcare organization maintains compliance with regulatory standards and delivers high-quality care by thoroughly vetting and credentialing healthcare providers Your attention to detail, understanding of healthcare regulations, and ability to build strong relationships will be instrumental in facilitating the credentialing process and maintaining accurate provider databases. Responsibilities: Provider Credentialing: Manage the credentialing process for healthcare providers, including physicians, nurse practitioners, physician assistants, and allied health professionals This involves collecting, verify...

Position : Credentialing Specialist Exp:1-5Years Location: Coimbatore/Mysuru (WFH/WFO/Hybrid) Immediate joiners are preferred Shift : Night Required Candidate profile 1 y – 4 y of Relevant Experience (Provider Credentialing) Experience in CAQH, Application review, Provider registration are required (Mandatory) Call or Whatsapp 9989051577 Email: manijob7@gmail.com

Minimum 1-3 years of experience working in credentialing. Candidate must have knowledge in END to END provider credentialing Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid. Required Candidate profile Looking for immediate Joiners. Location: Ambattur, Chennai. Contact: Rebecca HR- 9500201343 (or) Walk-in: Monday-Friday between 3.30pm-6.30pm.

Job Title: Credentialing Specialist (Provider Enrollment)- Credentials. Skills : Credentialing, Insurance Eligibility, Enrollment Location : Pune ( Baner ) Education: Graduate. Experience: 2-5 Years Cab Facility : Both sides cab Profile Overview: • Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases. • Keep track of expiration dates for state DEA licenses, board certifications, and malpractice insurance for individual providers. Key Responsibilities : • Maintain individual provider files with up-to-date information for governmental and commercial payer credentialing applications. • Track contracted Managed Care Organizations, commercial payers, CMS Medicare, Medicaid...

Location: Dattagalli, 3rd Stage Mysore Shift: Night (U.S. Time Zone) Experience: 13 years in U.S. healthcare credentialing Role Description Looking for a detail-oriented Credentialing Specialist to handle provider enrollment and re-credentialing with Medicare, Medicaid, and commercial payers. Responsibilities include managing CAQH, NPPES, and payer portal updates, tracking application status, maintaining records, and coordinating with providers and payers for timely approvals. Requirements: 13 years of experience in provider credentialing. Knowledge of CAQH, PECOS, Availity, and payer portals. Strong communication and follow-up skills. Proficient in MS Office. Must be willing to work night s...

Credentialing Specialist Location: Coimbatore Experience: min 1 year Qualification: Graduate Immediate Joiners preferred Skills: Credentialing, CAQH, Provider side exp., provider registration, application reveiew

Greetings from GEMS Consultancy We are hiring for Credentialing Specialist Exp: 1-4yrs Exp in CAQH, Application review ,Provider registration Max salary 42k Immediate joiners only Interested candidates share your resume to Pavithra B 7019144304

Credentialing Specialist 1 – 4 yrs Exp (Provider) Exp in CAQH, App review, Provider reg are Mandatory Credentialing Team Lead 5.5 years - 7 years of Relevant Experience(Provider Credentialing)Imm joiner 15-30Days Grp Lead/Sr Grp Lead on paper exp

Designation ;Credentialing specialties - 3 Team Lead - 2 Exp:1-8Years Location: Coimbatore/Mysuru (WFH/WFO/Hybrid Relevant Experience (Provider Credentialing) Required Candidate profile Experience in CAQH, Application review, Provider registration are required (Mandatory) Walk in drive on 25th Oct at 10 am at Coimbatore Call or Whatsapp 9989051577 Email: manijob7@gmail.com

Position : Credentialing Specialist Exp:1-5Years Location: Coimbatore/Mysuru (WFH/WFO/Hybrid) Immediate joiners are preferred Shift : Night Required Candidate profile 1 y – 4 y of Relevant Experience (Provider Credentialing) Experience in CAQH, Application review, Provider registration are required (Mandatory) Call or Whatsapp 9989051577 Email: manijob7@gmail.com

Looking for minimum 1 year experince in Provider Credentialing or Provider Enrollment in Voice process Should be aware about CAQH / EFT / ERA or EDA Looking for immediate Joiners , virtual Interview available Contact 8977711182

Medical Provider Enrollment Specialist (Permanent Work-From-Home) About the Role: We are seeking experienced Medical Provider Enrollment Specialists with a strong background in end-to-end Provider Enrollments, Insurance Credentialing, Provider Contracting, and ReCredentialing. This role is ideal for professionals who thrive in a remote work environment and are committed to maintaining clear communication with our credentialing team and clients. Attention to detail and the ability to flawlessly complete tasks within set deadlines are essential for this position. Key Responsibilities: Manage the full spectrum of provider credentialing and enrollment, including filing Letters of Interest and co...

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 shane@parkmedicalbilling.com 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 d...

Medical Billing (RCM) Team Lead Location: Thaltej, Ahmedabad Experience: 4 to 7 years in U.S. Healthcare RCM (with team handling experience) Employment Type: Full-time | Work From Office About the company: Account Prism, founded in 2013, is a women-owned business transformation firm with a team of seasoned professionals who have 15+ years of experience across various domains in the US. Our service line includes Accounting, Tax, RCM and technology services. About the Role We are hiring an experienced RCM Team Lead who can oversee end-to-end revenue cycle management processes, mentor a team, and drive performance to achieve billing and collection targets. The role requires expertise in AR, den...

Role & responsibilities Credentialing Specialist will work with the credentialing team in the United States to help physicians, medical practices, and healthcare organizations with credentialing and enrollment. The roles and responsibilities include: Track and follow up with providers for timely return of all required credentialing documents and applications Assist in synchronization of data among multiple systems Maintain credentialing database and ensure up-to-date tracking of application process Document progress in project management software, and provide regular updates to management Work with commercial and governmental payers for credentialing and enrolment of multiple provider specia...

Looking for minimum 1 year experince in Provider Credentialing or Provider Enrollment in Voice process Should be aware about CAQH / EFT / ERA or EDA Looking for immediate Joiners , virtual Interview available Contact 8977711182

Job Title- Executive - AR ( Credentialing ) Job DescriptionAs a Credentialing Associate at R Systems, you will play a pivotal role in ensuring the accurate and timely processing of credentialing applications for US healthcare professionals. Your expertise in regulatory compliance, attention to detail, and ability to manage multiple tasks will be critical in maintaining provider records and ensuring adherence to industry standards. You will conduct thorough background checks, verify licenses and certifications, and collaborate with internal teams to address credentialing issues. Additionally, you will stay informed about changes in healthcare regulations and help refine credentialing policies...

Please share cv @ shikha.nillay@provana.com or ping me @ 7678565526 Key Responsibilities: Credential Verification: Conduct primary source verification of education, licenses, certifications, and work history. Perform background checks including criminal records and disciplinary actions. Compliance & Regulation: Ensure compliance with NCQA, CMS, The Joint Commission, and other regulatory bodies. Monitor expiration dates and initiate timely renewals of credentials. Documentation & Database Management: Maintain accurate records in credentialing software (e.g., CAQH, PECOS, NPPES). Track and update provider profiles and credentialing logs. Communication & Coordination: Liaise with providers, pay...

Key Responsibilities: Credential Verification: Conduct primary source verification of education, licenses, certifications, and work history. Perform background checks including criminal records and disciplinary actions. Compliance & Regulation: Ensure compliance with NCQA, CMS, The Joint Commission, and other regulatory bodies. Monitor expiration dates and initiate timely renewals of credentials. Documentation & Database Management: Maintain accurate records in credentialing software (e.g., CAQH, PECOS, NPPES). Track and update provider profiles and credentialing logs. Communication & Coordination: Liaise with providers, payers, and internal departments to resolve discrepancies. Respond to i...

We are looking for experienced Credentialing & Enrollment Specialists who have experience in the end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. About the Role Specialists applying for this role must be extremely comfortable working remotely and be willing to make extra efforts to communicate/engage with our credentialing team and clients as well as be able to ensure client work packages are completed flawlessly. This position requires complex levels of organizational skills and the ability to complete assigned tasks within the allotted time to do so. Responsibilities Minimum of 2 years experience in provider credentialing and ...

Looking for minimum 1 year experince in Provider Credentialing or Provider Enrollment in Voice process Should be aware about CAQH / EFT / ERA or EDA Looking for immediate Joiners , virtual Interview available Contact 8977711182

Looking for minimum 1 year experince in Provider Credentialing or Provider Enrollment in Voice process Should be aware about CAQH / EFT / ERA or EDA Looking for immediate Joiners , virtual Interview available Contact 8977711182

The role involves managing the full-cycle credentialing and re-credentialing process for healthcare providers. This includes verifying and maintaining provider documentation, licenses, certifications, and affiliations. Coordination with insurance companies, hospitals, and healthcare organizations for provider enrollment is crucial. Compliance with NCQA, CMS, and other regulatory requirements must be ensured. It is essential to maintain accurate and up-to-date records in credentialing databases. Effective communication with providers regarding application status, missing information, or required updates is necessary. Additionally, supporting audits, reporting, and quality improvement initiati...