Credentialing Executive

2 - 4 years

0 Lacs

Posted:5 days ago| Platform: GlassDoor logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Credentialing Executive – Night Shift (US Healthcare RCM)

Location: Ahmedabad (Work from Office)

Shift: Night Shift (US Hours)

Experience: 2–4 Years in US Healthcare Credentialing (RCM companies only)

Limpid Global Solutions is hiring a Credentialing Executive with 2–4 years of experience in US healthcare credentialing. The ideal candidate will have worked in an RCM or medical billing company, handled provider enrollments, and be comfortable working the night shift from our Ahmedabad office.

Key Responsibilities:

  • Perform end-to-end credentialing for providers, including initial enrollment, re-credentialing, and updates.
  • Work with Medicare, Medicaid, BCBS, Aetna, Cigna, UnitedHealthcare, and other commercial payers across multiple U.S. states.
  • Manage and update provider information in CAQH, PECOS, NPPES, and payer portals.
  • Handle applications using tools such as Kareo, Availity, MD-Staff, and Excel trackers.
  • Manage credentialing timelines by coordinating with providers, payers, and internal teams; maintain logs and resolve application issues.
  • Ensure compliance with U.S. healthcare standards and provide regular status updates to the client team.

Required Skills & Qualifications:

  • 2–4 years of hands-on experience in US healthcare provider credentialing at an RCM or healthcare BPO company.
  • Familiar with multi-state credentialing rules and insurance carrier processes.
  • Experience with voice/non-voice processes and direct client interaction preferred.
  • Excellent verbal and written communication skills in English.
  • Strong follow-up, tracking, and documentation abilities.
  • Willingness to work night shift from the office (Ahmedabad).

Salary: Open (Based on experience and performance)

How to Apply:

Send your resume to career@limpidgs.com
Only shortlisted candidates will be contacted.

Job Type: Full-time

Experience:

  • Credentialing : 2 years (Required)

Language:

  • English (Required)

Shift availability:

  • Night Shift (Preferred)
  • Overnight Shift (Preferred)

Work Location: In person

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