Openings For Senior Credentialing specialist Voice

Greetings from

Role :

Location :

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:

Job Summary:

Credentialing Specialist

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?