Senior Associate - Credentialing / Specialist

Afiablee Healthcare and IT Solutions LLP

Iconic Shyamal, 905, 9th Floor, Shyamal Cross Road, Ahmedabad, Gujarat 380015 (Onsite)

At Afiablee Healthcare and IT Solutions LLP, we deliver high-impact Revenue Cycle Management and IT solutions exclusively for the US healthcare ecosystem. We partner with leading providers, payers, and healthcare organizations to streamline credentialing, enrollment, billing, and payment workflows so clinicians can focus on patients, not paperwork.

We are hiring experienced Credentialing Specialists. Immediate joiners preferred.

What You Can Expect From Us

• High-Performing Team

  : Work with a tight-knit, elite group that executes with speed, precision, and ownership of deadlines.

• Structured Onboarding

  : Smooth digital application process followed by systematic training.

• Engaging Workplace:

  Regular team events and celebrations.

• Clear Career Path

  : Defined growth tracks with performance-linked increments and promotions.

Key Responsibilities

• Manage end-to-end provider credentialing and re-credentialing in compliance with NCQA, Joint Commission, state, and federal regulations.
• Perform primary source verification (education, training, board certification, licensure, sanctions, malpractice history, etc.).
• Maintain and update CAQH profiles with 100% accuracy and timeliness.
• Drive payer enrollment applications, follow up via phone/email, and resolve enrollment rejections.
• Coordinate with internal teams and external credentialing contacts to meet delegation and turnaround-time SLAs.
• Serve as the go-to escalation point for complex credentialing issues.
• Ensure complete, audit-ready credentialing files at all times.

Required Qualifications & Experience

• Minimum 2 years of hands-on provider credentialing experience in the US RCM/KPO industry.
• Expert-level knowledge of CAQH (registration, attestation, re-attestation, document uploads).
• Strong understanding of provider enrollment with commercial payers and government programs.
• Graduate in any discipline.
• Proficient in MS Office suite, Adobe Acrobat, internet research, and documentation.
• Excellent English communication (verbal and written) with clear phone etiquette for payer follow-ups.
• Ready to work fixed US night shift.

There is no bar for the right candidate experience, expertise, and attitude matter more than anything else.

Walk-in Interviews

Date: Ongoing

Time: 04:00 PM to 04:00 AM IST

Venue: Iconic Shyamal, 905, 9th Floor, Shyamal Cross Road, Ahmedabad 380015

Bring updated resume and be ready for on-the-spot discussion and selection.