Credentialing Executive

PDA E-Services Pvt Ltd is a dynamic and fast-growing Global Capability Centre (GCC) for Piccadilly Dental Alliance (PDA), a leading dental healthcare organization based in the United States. Established in 2022, we offer comprehensive operational and administrative support to dental practices across the U.S., helping them deliver outstanding patient care. As PDAs exclusive India-based outsourcing partner, we are expanding rapidly with a strong focus on process excellence, quality service, and people development.

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

Benefits Offered:

• Fixed weekend off (Saturday & Sunday)
• Career progression in the fast-growing U.S. healthcare industry
• In-depth training on U.S. credentialing systems and healthcare compliance
• Paid leaves and holiday benefits as per company policy

Apply Now and Join the New Era of Healthcare with Us!!!