Credentialing Analyst (End-to-End)

RapidCare Pvt. Ltd.; Chennai, Tiruchirappalli, Coimbatore District, Bengaluru, Hyderabad; On-site; INR 600,000 - 960,000; Full time

Job summary

Rapid Care Group in Chennai, India seeks a Credentialing Specialist to manage end-to-end credentialing, payer enrollment, and CAQH profile activities for US healthcare providers.

The role requires hands-on experience with credentialing processes, strong communication with providers and payers, and collaboration with internal teams to ensure timely submissions and compliance with NCQA and CMS guidelines.

Qualifications

• Hands-on experience with end-to-end credentialing and payer enrollment processes.
• Knowledge of CAQH, NPI, PECOS, and provider enrollment platforms.
• Excellent verbal and written communication skills.
• Experience working with US healthcare providers and insurance payers.
• Knowledge of medical billing, revenue cycle management, and provider contracting processes.

Responsibilities

• Verify provider credentials, including licenses, certifications, education, training, work history, DEA, NPI, and malpractice insurance.
• Process payer enrollments, revalidations, and CAQH profile management.
• Ensure timely submission of credentialing applications to insurance payers.
• Follow up with providers, payers, and internal stakeholders regarding application status.
• Maintain accurate provider records and credentialing databases.
• Track expiration dates and coordinate renewals for licenses, certifications, and malpractice coverage.
• Identify and resolve credentialing discrepancies or missing documentation.
• Ensure compliance with NCQA, CMS, Joint Commission, and payer-specific guidelines.
• Collaborate with provider relations, contracting, and operations teams to support onboarding and network participation.
• Perform end-to-end provider credentialing and re-credentialing activities.

Skills

Credentialing processes

Payer enrollment

CAQH / NPI / PECOS

Communication

US healthcare knowledge

Tools

CAQH

NPI

PECOS

Provider enrollment platforms

Job description

• Verify provider credentials, including licenses, certifications, education, training, work history, DEA, NPI, and malpractice insurance.
• Process payer enrollments, revalidations, and CAQH profile management.
• Ensure timely submission of credentialing applications to insurance payers.
• Follow up with providers, payers, and internal stakeholders regarding application status.
• Maintain accurate provider records and credentialing databases.
• Track expiration dates and coordinate renewals for licenses, certifications, and malpractice coverage.
• Identify and resolve credentialing discrepancies or missing documentation.
• Ensure compliance with NCQA, CMS, Joint Commission, and payer-specific guidelines.
• Collaborate with provider relations, contracting, and operations teams to support onboarding and network participation.
• Perform end-to-end provider credentialing and re-credentialing activities.

Required Qualifications

• Hands-on experience with end-to-end credentialing and payer enrollment processes.
• Knowledge of CAQH, NPI, PECOS, and provider enrollment platforms.
• Excellent verbal and written communication skills.
• Experience working with US healthcare providers and insurance payers.
• Knowledge of medical billing, revenue cycle management, and provider contracting processes.

About Company

Rapid Care Group is a global healthcare services organization supporting providers, payers, and legal entities with healthcare information management and operational services. Founded in 1999, the group brings more than 26 years of experience delivering secure, process-driven solutions across complex healthcare workflows.