Responsibilities: * Verify patient eligibility & enrollment * Manage credentialing process from start to finish * Ensure accurate Medicaid verification & billing compliance Health insurance
Join Our Growing US Healthcare Team as a Credentialing Coordinator! Are you detail-obsessed, process-driven, and ready to be the bridge between healthcare providers and payers? This is your chance to shine in a role where accuracy saves time, and time saves lives. Location: Noida (Within a 30 km radius) Experience: 24 years in US healthcare credentialing (Provider Enrollment, CAQH, NPI, and Payer Applications) Education: Any Graduate (Healthcare background preferred) What Youll Do: Manage end-to-end credentialing for US healthcare providers — from initial application to final approval. Maintain CAQH profiles, NPIs, and state license verifications with zero lapses. Work with payers, provider groups, and internal teams to ensure on-time enrollments . Track, update, and troubleshoot applications until closure. Maintain an organized, up-to-date credentialing database. What Makes You a Great Fit: You’re a master of follow-ups — “no update” is never an answer. You can spot a missing document from a mile away. You speak fluent credentialing lingo (CAQH, PECOS, NPI, DEA— no need for Google). You’re comfortable juggling multiple provider files without losing track. Proficiency in MS Office and excellent communication skills are a must. Why Join Us? Work with a supportive, people-first team that values your expertise. Be part of a fast-growing US healthcare process with real career growth. Enjoy a collaborative environment where your work directly impacts patient care delivery . How to Apply: Apply now — because credentialing waits for no one!
Role & responsibilities Strong problem-solving and analytical skills Excellent communication abilities. Proficiency in MS Office. People-oriented with strong teamwork capabilities. Any graduate, preferably with 3+ years of experience in US healthcare. Location: Noida (Candidates must reside within a 30 km radius) Preferred candidate profile We are seeking an experienced and motivated professional to join our US healthcare team. The role involves: Contacting insurance companies to follow up on outstanding Accounts Receivables (A/R) Managing complex insurance cases, including IPA (Independent Physician Association) accounts. Working assigned accounts toward resolution as per the SOP guidelines. Assisting in resolving outstanding issues from previous transactions Meeting quality standards (98%) consistently. Coordinate with the manager to identify daily priorities. Achieve daily production goals and maintain quality benchmarks. Update the production tracker regularly
Person responsible for managing the collection and reconciliation of outstanding balances from insurance companies and patients. The role requires proactive communication through phone calls and follow-ups to ensure timely payments, resolve denials, and maintain accurate account records. The specialist plays a key role in optimizing cash flow and minimizing accounts receivable aging within the organization. Key Responsibilities: Review patient accounts and ensure claims are submitted accurately and promptly to insurance carriers. Make daily outbound calls to insurance companies to verify claim status, resolve denials, and expedite payments. Experience in denial management and appeals process. Proficiency in Microsoft Excel and AR reporting tools. Work claim rejections and denials by gathering necessary documentation, correcting errors, and resubmitting claims. Identify and escalate complex issues to the billing supervisor or manager as needed. Maintain regular follow-up on unpaid claims according to payer timelines and internal AR policies. Prepare and review aging reports to identify overdue accounts, prioritize calling lists, and reduce AR days. Collaborate with coding and billing teams to resolve claim discrepancies and ensure compliance with payer requirements. Provide excellent customer service when communicating with patients, payers, and internal staff. Assist with monthly reporting and AR reconciliation tasks as part of the revenue cycle process