6 Credentialing Specialist Jobs

Job Title: Assistant Manager Credentialing Company: Capline Services Location: Noida (On-site) Shift: 24/7 Operations (Rotational Shifts) Work Days: Monday to Friday (Saturday and Sunday Off) Experience: Minimum 6 years in US Healthcare Credentialing, with at least 2 year in a supervisory or assistant manager role Salary: 9 LPA 12 LPA (Based on experience and qualifications) About Capline Services Capline Services is a captive unit providing end-to-end support to US healthcare providers. We specialize in credentialing, revenue cycle management, and healthcare staffing. Job Overview We are seeking an experienced Assistant Manager Credentialing to lead and oversee a credentialing team responsible for provider enrollment, re-credentialing, and regulatory compliance across various US healthcare payers. The ideal candidate will have in-depth credentialing expertise, proven leadership capabilities, and a strong understanding of payer guidelines and compliance standards. Key Responsibilities Oversee the end-to-end credentialing lifecycle including initial credentialing, re-credentialing, and enrollments with Medicare, Medicaid, and commercial payers Lead daily team operations, monitor KPIs, and drive performance improvements Maintain and manage credentialing systems such as CAQH, PECOS, NPPES, Availity, and others Ensure strict compliance with NCQA, URAC, CMS, and payer-specific guidelines Collaborate with internal and external stakeholders to resolve escalations and ensure timely application submissions Conduct training sessions, performance evaluations, and support employee development Provide strategic input to optimize workflows and improve operational efficiency Requirements Bachelors degree preferred Minimum 6 years of experience in US healthcare credentialing, including at least 2 years in a leadership or assistant managerial role Strong understanding of US healthcare regulations and payer enrollment processes Hands-on experience with credentialing portals and tools Excellent team leadership, communication, and analytical skills Ability to work in rotational shifts in a 24/7 operational environment Why Capline? Fixed weekend offs Leadership role in a growing US healthcare captive Supportive, process-driven, and collaborative work culture Opportunities for long-term career advancement To Apply: Please connect at HR Simran Choudhary simranchoudhary@caplineservices.com 9258890586

Job Title: Assistant Manager Credentialing Company: Capline Services Location: Noida (On-site) Shift: 24/7 Operations (Rotational Shifts) Work Days: Monday to Friday (Saturday and Sunday Off) Experience: Minimum 6 years in US Healthcare Credentialing, with at least 1 year in a supervisory or assistant manager role Salary: 9 LPA 12 LPA (Based on experience and qualifications) About Capline Services Capline Services is a captive unit providing end-to-end support to US healthcare providers. We specialize in credentialing, revenue cycle management, and healthcare staffing. Job Overview We are seeking an experienced Assistant Manager Credentialing to lead and oversee a credentialing team responsible for provider enrollment, re-credentialing, and regulatory compliance across various US healthcare payers. The ideal candidate will have in-depth credentialing expertise, proven leadership capabilities, and a strong understanding of payer guidelines and compliance standards. Key Responsibilities Oversee the end-to-end credentialing lifecycle including initial credentialing, re-credentialing, and enrollments with Medicare, Medicaid, and commercial payers Lead daily team operations, monitor KPIs, and drive performance improvements Maintain and manage credentialing systems such as CAQH, PECOS, NPPES, Availity, and others Ensure strict compliance with NCQA, URAC, CMS, and payer-specific guidelines Collaborate with internal and external stakeholders to resolve escalations and ensure timely application submissions Conduct training sessions, performance evaluations, and support employee development Provide strategic input to optimize workflows and improve operational efficiency Requirements Bachelor’s degree preferred Minimum 6 years of experience in US healthcare credentialing, including at least 2 years in a leadership or assistant managerial role Strong understanding of US healthcare regulations and payer enrollment processes Hands-on experience with credentialing portals and tools Excellent team leadership, communication, and analytical skills Ability to work in rotational shifts in a 24/7 operational environment Why Capline? Fixed weekend offs Leadership role in a growing US healthcare captive Supportive, process-driven, and collaborative work culture Opportunities for long-term career advancement To Apply: Please connect at HR Zakir Husain 9971047487

Key Responsibilities: Maintain and update the onboarding tracker, ensuring timely follow-ups. Leverage background verification processes effectively. Communicate proficiently with Native American stakeholders via phone, email, and text messages. Key Skills: Attention to detail. Prior experience in US healthcare credentialing. Strong verbal and written communication skills.

Hiring for Provider credentialing SPE / SME Loc: Pan India Shift : Us shift Work mode : Work from home Years of Exp: SPE : 1.5 yrs SME : 4 yrs Skill Excellent communication with experience in handling provider credentialing via Calls SPE - 1.5 yrs of min relevant exp , SME - 4 yrs of min relevant exp Notice : Immediate to max 30 days Location : PAN India - work from home For SME, people with QA experience and client facing experience will be an added advantage For SPE, any AR with excellent communication and willing to work on credentialing will also be considered Interested candidates contact HR Hema@9136535233/ hemavathi@careerguideline.com

We Are Hiring for Credentialing Process - US Healthcare Eligibility Criteria :- Min 2+ years of credentialing experience Package :- Upto 3.9 CTC & 29K Take-home + Night Shift Allowance Qualification :- Degree Immediate Joiners Preferred Relieving Mandate WFO 2 Way Cab Interested candidates can Call Or Send Resume to HR Deepthi 83419 82307

We are hiring for "CREDENTIALING SPECIALIST ROLE" for an MNC for CHENNAI Location. Salary : Upto 6 LPA (In Hand) Shift : Any 5 Days working WORK FROM OFFICE Need Good/Excellent English Comm. skills Must have good knowledge of RCM Required Candidate profile Candidates must have at least 2 to 3 Yr of exp. in same profile. Types of NPI numbers in the credentials process. Application submitted for individual medicare enrolment. Call : 9335-906-101