Credentialing Coordinator

Credentialing Executive

Job description

As a Credentialing Executive at PDA E-Services Pvt Ltd, you will play a critical role in managing the credentialing and enrollment processes for dental care providers in the U.S. Your work will directly support timely onboarding, regulatory compliance, and ongoing licensure across various insurance panels and healthcare networks. This position requires precision, proactive follow-ups, and a deep understanding of administrative workflows in a U.S. healthcare environment.

What You’ll Do:

Collect and verify dental provider documentation for insurance enrollment and credentialing.

Submit complete, accurate applications to Medicare, Medicaid, and commercial insurance plans

Track credentialing application statuses and follow up with insurance carriers for timely approvals.

Monitor expirations and renewals of provider licenses, malpractice insurance, certifications, and revalidations.

Maintain and update internal credentialing databases and portals with accuracy and consistency.

Ensure full compliance with credentialing standards, timelines, and HIPAA guidelines.

Collaborate with practice managers, U.S. client teams, and internal operations to ensure end-to-end credentialing coverage.

What We’re Looking For:

1 to 3 years of experience in Dental credentialing, enrollment, or related U.S. healthcare operations.

Excellent English communication (spoken & written) and attention to detail.

Strong familiarity with MS Office tools (Excel, Outlook, Word) and web-based portals.

Prior exposure to U.S. insurance systems is a plus.

Comfortable working in U.S. night shifts and handling time-sensitive tasks independently.

Education: Graduate in any stream (B.Com / BBA / B.Sc / B.A. or equivalent preferred).

Work Schedule:

Shift: Fixed Night Shift (U.S. Hours)

Timings: 4:00 PM to 1:00 AM IST

Working Days: Monday to Friday

Weekly Off: Saturday and Sunday

Location: On-site – Pune