Credentialing Analyst - US HealthCare | Immediate Joiners

Revsyntech

0 - 3 years

2 - 5 Lacs

noida

Posted:3 days ago| Platform:

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Skills Required

credentialing revenue cycle management provider enrollment us healthcare enrollment edi

Work Mode

Work from Office

Job Type

Full Time

Job Description

Credentialing Specialist

Role & responsibilities

Manage provider credentialing and re-credentialing with insurance companies, hospitals, and networks.
Prepare, review, and submit applications and supporting documents as per payer requirements.
Maintain CAQH profiles, NPI registrations, state licenses, and other provider databases.
Track application status, follow up with payers, and resolve credentialing issues promptly.
Ensure compliance with HIPAA and healthcare regulations.
Collaborate with internal teams and providers for accurate data and timely updates.

Desired Candidate Profile

1-4 years
of experience in US healthcare credentialing/RCM.
Strong knowledge of CAQH, NPI, PECOS, and payer portals.
Excellent communication and coordination skills.
Ability to handle multiple tasks with attention to detail and deadlines.
Proficient in MS Office (Word, Excel, Outlook).

Perks and Benefits

Competitive salary package with performance-based incentives.
Opportunity to grow with a fast-scaling organization.
Supportive work culture and learning-driven environment.
5 Day Working

Interested candidates can apply directly via Naukri or share their updated CV at HR@revsyntech.com

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