Credentialing Analyst

EMPClaim Solutions Inc.; Ahmedabad; On-site; INR 400,000 - 600,000; Full time

Job summary

ESP Engineered in Ahmedabad, Gujarat is seeking a versatile individual to assist in managing provider information and onboarding with commercial payers. Responsibilities include verifying CAQH data, providing on-floor team support, and maintaining documentation for various credentials.

Ideal candidates will have strong communication skills and an understanding of payer enrollment processes. Join our dynamic team for a rewarding career in a supportive environment.

Qualifications

• Experience with CAQH System Integration and usage is mandatory.
• Strong understanding of payer enrollment processes and contracts is required.
• Excellent communication skills in English are essential.
• Familiarity with CME tracking and credential updates is necessary.

Responsibilities

• Assist in preparing and coordinating provider information with Onsite team.
• Verifying CAQH information and credentials supplied by Onsite team.
• On-floor support to the team – Query resolution and training.
• Quality check, coaching and feedback to the junior team members.
• Prepare and submit all enrolment applications for commercial payers with supporting documentation.
• Managing queries and correspondences from payers.
• Follow-up with insurance companies to ensure timely processing of applications.
• Maintaining copies of licenses, DEA, malpractice insurance, and other required documents.
• Assisting on client calls by updating them on the provider’s credentialing status.
• Maintained and updated all practitioner databases.
• Efficiently credentialing of all providers in a timely manner.

Skills

CAQH System Integration & Usage

Payer Enrollment & Contract Understanding

English Communication

CME Tracking & Credential Updates

Job description

• Assist in preparing and coordinating provider information with Onsite team.
• Verifying CAQH information and credentials supplied by Onsite team.
• On‑floor support to the team – Query resolution and training
• Quality check, coaching and feedback to the junior team members.
• Prepare and submit all enrolment applications for commercial payers with supporting documentation.
• Managing queries and correspondences from payers.
• Follow‑up with insurance companies to ensure timely processing of applications.
• Maintaining the copies of licenses, DEA, malpractice insurance and other required documents.
• Assisting on client calls by updating them on the provider’s credentialing status.
• Maintained and updated all practitioner databases.
• Efficiently credentialing of all providers in a timely manner.

Required Skills

• CAQH System Integration & Usage
• Payer Enrollment & Contract Understanding
• English Communication
• CME Tracking & Credential Updates