Credentialing Executive / Analyst - Medicare and Medicaid

Rapid Care; Chennai; On-site; INR 400,000 - 700,000; Full time

Benefits offered by this job

Near Little Mount Metro

Job summary

Rapid Care in Chennai seeks a Credentialing Executive/Analyst to manage provider credentialing and enrolment for US healthcare providers. You will verify documents, prepare submissions to payers, and maintain accurate credentialing records with timely renewals.

Role requires 25 years of US credentialing experience, Medicare/Medicaid know-how, and strong communication and organizational skills. Office-based in Saidapet with occasional US night shifts as needed.

Qualifications

• Any graduate required.
• 25 years of experience in US healthcare credentialing or provider enrollment.
• Hands-on experience with Medicare and Medicaid mandatory.
• Knowledge of US healthcare insurance and payer processes.
• Good communication, documentation and follow-up skills.
• Strong attention to detail and organizational skills.
• Comfortable with day shift; may work US night shift as needed.

Responsibilities

• Handle provider credentialing and enrolment activities for US healthcare providers.
• Verify provider information, licenses, certifications and other required documents.
• Prepare and submit credentialing and enrolment applications to insurance payers.
• Follow up with payers on application status and approvals.
• Maintain accurate provider credentialing records and databases.
• Track license, certification and credential renewal dates.
• Identify missing or expired documents and coordinate timely updates.
• Ensure all credentialing activities are completed within the required turnaround time.

Skills

Communication

Documentation

Follow-up

Attention to detail

Organizational skills

Education

Any Graduate

Job description

Credentialing Executive / Analyst

We are looking for detail-oriented Credentialing Executives / Analysts to manage provider credentialing and enrolment for US healthcare providers. You will verify provider documents, prepare and submit applications to insurance payers, follow up on approvals, and keep credentialing records accurate and current, completing every task within the required turnaround time.

Key Responsibilities

• Handle provider credentialing and enrolment activities for US healthcare providers.
• Verify provider information, licenses, certifications and other required documents.
• Prepare and submit credentialing and enrolment applications to insurance payers.
• Follow up with payers on application status and approvals.
• Maintain accurate provider credentialing records and databases.
• Track license, certification and credential renewal dates.
• Identify missing or expired documents and coordinate timely updates.
• Ensure all credentialing activities are completed within the required TAT.

Candidate Requirements

• Any Graduate.
• 25 years of experience in US healthcare credentialing or provider enrollment.
• Hands-on experience with both Medicare and Medicaid is mandatory.
• Knowledge of US healthcare insurance and payer processes.
• Good communication, documentation and follow-up skills.
• Strong attention to detail and organizational skills.
• Comfortable working day shift, with flexibility to work US (night) shift when business requires.

Location and Shift

• Office: Saidapet, Chennai, very near Little Mount Metro Station.
• Work from office.
• Day shift; US (night) shift when business requires.

For queries, write to [e-mail]