Position: Credentialing Specialist Location: Ahmedabad, Gujarat Job Type: Full-Time Experience Required: Minimum 2 years in medical credentialing About the Role We are seeking a Credentialing Specialist to join our growing team. The ideal candidate will have at least 2 years of experience in provider credentialing and enrollment processes. This role is crucial in ensuring providers are properly credentialed with insurance payers and regulatory bodies to maintain compliance and support seamless revenue cycle management. Key Responsibilities Manage the full-cycle credentialing process for healthcare providers, including initial credentialing, re-credentialing, and ongoing updates. Verify provider information such as licenses, certifications, NPI, DEA, CAQH, and malpractice insurance . Submit and track applications with commercial insurance payers, Medicare, and Medicaid. Maintain accurate and up-to-date records in credentialing databases and systems. Ensure compliance with HIPAA, CMS, and state/federal regulations . Communicate with providers, insurance companies, and internal teams to resolve any credentialing issues. Monitor credentialing timelines and follow up proactively to avoid lapses or delays. Prepare reports and maintain documentation for audits and compliance reviews. Required Qualifications Minimum 2 years of experience in healthcare credentialing. Strong understanding of CAQH, NPI, Medicare, Medicaid, and commercial payer processes . Knowledge of healthcare compliance regulations and standards (HIPAA, CMS, etc.). Excellent attention to detail and strong organizational skills . Ability to handle multiple applications and deadlines simultaneously. Proficiency in credentialing software, MS Office Suite, and databases. Strong communication and interpersonal skills . What We Offer Competitive salary package. Growth and career advancement opportunities. Supportive and collaborative work environment. Training and certification reimbursement options. Pick and drop facility only for Female candidates. How to Apply Interested candidates can send their updated resume to rcmadmin@mediproxx.com with the subject line: “Application – Credentialing Specialist.” Job Type: Full-time Benefits: Food provided Health insurance Leave encashment Work Location: In person
Position: Credentialing Specialist Location: Ahmedabad, Gujarat Job Type: Full-Time Experience Required: Minimum 2 years in medical credentialing About the Role We are seeking a Credentialing Specialist to join our growing team. The ideal candidate will have at least 2 years of experience in provider credentialing and enrollment processes. This role is crucial in ensuring providers are properly credentialed with insurance payers and regulatory bodies to maintain compliance and support seamless revenue cycle management. Key Responsibilities Manage the full-cycle credentialing process for healthcare providers, including initial credentialing, re-credentialing, and ongoing updates. Verify provider information such as licenses, certifications, NPI, DEA, CAQH, and malpractice insurance . Submit and track applications with commercial insurance payers, Medicare, and Medicaid. Maintain accurate and up-to-date records in credentialing databases and systems. Ensure compliance with HIPAA, CMS, and state/federal regulations . Communicate with providers, insurance companies, and internal teams to resolve any credentialing issues. Monitor credentialing timelines and follow up proactively to avoid lapses or delays. Prepare reports and maintain documentation for audits and compliance reviews. Required Qualifications Minimum 2 years of experience in healthcare credentialing. Strong understanding of CAQH, NPI, Medicare, Medicaid, and commercial payer processes . Knowledge of healthcare compliance regulations and standards (HIPAA, CMS, etc.). Excellent attention to detail and strong organizational skills . Ability to handle multiple applications and deadlines simultaneously. Proficiency in credentialing software, MS Office Suite, and databases. Strong communication and interpersonal skills . What We Offer Competitive salary package. Growth and career advancement opportunities. Supportive and collaborative work environment. Training and certification reimbursement options. Pick and drop facility only for Female candidates. How to Apply Interested candidates can send their updated resume to rcmadmin@mediproxx.com with the subject line: “Application – Credentialing Specialist.” Job Type: Full-time Benefits: Food provided Health insurance Leave encashment Work Location: In person
Job Title: Medical Billing AR Specialist Department: Revenue Cycle Management (RCM) Reports To: Billing Manager / AR Team Lead Employment Type: Full-Time / On-site Job Summary: The Medical Billing AR Specialist is responsible for managing and resolving outstanding Accounts Receivable (A/R) claims, ensuring accurate and timely reimbursement from insurance companies and patients. The ideal candidate will have a strong understanding of medical billing procedures, payer policies, denial management, and claim follow-up processes. Key Responsibilities: Review and follow up on unpaid or denied insurance claims to ensure prompt payment. Identify and resolve billing errors, underpayments, and denials. Submit corrected claims, appeals, and reconsiderations as needed. Communicate effectively with insurance companies, patients, and internal departments to resolve account discrepancies. Post payments, adjustments, and write-offs accurately in the billing system. Maintain detailed documentation of all collection activities and claim statuses. Review aging reports regularly and prioritize high-value or aging claims. Work with credentialing and billing teams to address payer setup or claim rejection issues. Stay updated with payer rules, fee schedules, and compliance guidelines (HIPAA, CMS, etc.). Meet or exceed daily and monthly productivity and quality targets. Qualifications: Education: High school diploma or equivalent (Bachelor’s degree preferred). Experience: Minimum 2 years of experience in medical billing and AR follow-up (US Healthcare experience preferred). Strong knowledge of EOBs, denials, CPT/ICD codes, and payer portals . Experience working with EMR/EHR or billing software (e.g., Athenahealth, eClinicalWorks, AdvancedMD, Kareo, etc.). Skills: Excellent communication (written and verbal). Strong analytical and problem-solving skills. Attention to detail and accuracy. Ability to multitask and meet deadlines. Proficiency in MS Office (Excel, Word, Outlook). Performance Metrics: A/R days outstanding Denial resolution rate Collection percentage Productivity (claims worked per day) Accuracy rate Preferred Attributes: Certification in medical billing and coding (CPC, CPB, or equivalent) is a plus. Experience in Primary Care, Internal Medicine, or Specialty Billing preferred. Self-motivated, goal-oriented, and team player. Compensation & Benefits: Competitive salary based on experience. Performance-based incentives. Health insurance and paid time off (as applicable). Opportunities for growth and professional development. Job Types: Full-time, Permanent Benefits: Food provided Health insurance Paid time off Provident Fund Work Location: In person