RCM Specialist – Credentialing

2 years

3 Lacs

Posted:1 week ago| Platform: GlassDoor logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Key Responsibilities:

  • Complete new provider credentialing and re-credentialing applications.
  • Submit enrollment forms to insurance companies (Medicare, Medicaid, commercial payers).
  • Maintain and update provider profiles in portals like CAQH and PECOS.
  • Track application status and follow up with payers.
  • Work closely with clients and internal teams to collect documents.
  • Keep records and logs of credentialing activities.
  • Assist with EV/BV and other billing tasks if required.

Requirements:

  • Minimum 2 years of experience in credentialing and US medical billing.
  • Good understanding of CAQH, PECOS, and payer portals.
  • Strong communication and follow-up skills.
  • Basic knowledge of Microsoft Excel and email tools.
  • Attention to detail and ability to manage multiple tasks.

Job Type: Full-time

Pay: From ₹300,000.00 per year

Benefits:

  • Leave encashment
  • Paid time off
  • Provident Fund

Schedule:

  • Monday to Friday
  • Night shift
  • US shift

Expected Start Date: 01/08/2025

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