Job description Greetings from Lincoln reimbursement Service PVT Limited!! Role : Senior Credentialing specialist Location : Chennai (WFH) Experience : 4 Years to 7 Years Benefits: Salary Credit on 25th Every month PF & 20 Lakh ICICI Health And Personal Insurance Permanent work from home Reports To: Credentialing Manager Job Summary: The Credentialing Specialist is responsible for managing the end-to-end credentialing and recredentialing process for healthcare providers with various insurance payers, including HMOs, IPAs, Medicare, Medicaid, and commercial insurers . This role ensures compliance with federal, state, and payer-specific regulations while maintaining accurate provider records to facilitate seamless billing and reimbursement. Key Responsibilities: 1. Provider Credentialing & Enrollment Process and submit credentialing applications to Medicare (PECOS), Medicaid, HMOs, IPAs, and commercial payers . Ensure timely enrollment in CAQH, NPPES, and payer-specific portals . Track application statuses and follow up with payers to resolve delays. 2. Provider File & Database Management Maintain individual provider files with up-to-date documentation (licenses, DEA, board certifications, malpractice insurance, etc.). Keep an organized tracking log for all contracted Managed Care Organizations (MCOs), Medicare, Medicaid, and CAQH updates . Ensure all provider portal logins (PECOS, NPPES, CAQH, payer systems) remain active and accessible. 3. Compliance & Revalidation Monitor and renew state licenses, DEA registrations, board certifications, and malpractice insurance before expiration. Ensure CAQH profiles are attested and updated per CMS and payer schedules. Stay updated on Medicare/Medicaid and MCO credentialing regulations . 4. Provider & Payer Communication Work directly with providers to collect and verify required credentialing documents. Serve as a liaison between providers, billing teams, and insurance payers to resolve credentialing issues. Notify management of any credentialing delays that may impact billing. Qualifications & Skills: 4+ years of credentialing experience in US medical billing , preferably with HMOs, IPAs, Medicare, and Medicaid . Strong knowledge of CAQH, PECOS, NPPES, and payer enrollment portals . Familiarity with provider enrollment forms (CMS-855I, CMS-855O, etc.) . Detail-oriented with strong organizational and tracking skills . Ability to manage multiple deadlines and prioritize workload. Interested candidates, please share your profiles to Email ID recruiting@lincolnrs.com with the following Application Question(s): How many years of experience do you have in Credentialing? Do you have WFH setup? What is your last take-home salary? What is your expected take-home salary? May I know your notice period?