Credentialing Specialist (CAQH, Medicaid, TRICARE)

ASP-RCM Solutions; Chennai District; On-site; INR 600,000 - 900,000; Full time

Job summary

ASP-RCM Solutions is seeking a credentialing specialist to manage provider enrollment across commercial payers, Medicaid and TRICARE. You will own enrollment applications, keep CAQH and PECOS current, and track expirables to ensure no lapse.

The role requires hands-on CAQH/PECOS experience and proactive payer follow-up to keep processes moving efficiently. The ideal candidate has 2+ years in US provider credentialing and payer enrollment, with meticulous document and deadline discipline and

Qualifications

• Two+ years in US provider credentialing and payer enrollment.
• Hands-on with CAQH, PECOS and commercial payer portals.
• Medicaid and TRICARE enrollment experience.
• Meticulous document and deadline discipline.
• Comfortable following up persistently with payers.

Responsibilities

• Own enrollment applications from start to finish.
• Maintain CAQH and PECOS currency.
• Track expirables to prevent lapses.
• Follow up with payers to accelerate processing.
• Manage re-credentialing and status reporting.

Skills

Provider credentialing

Payer enrollment

Payer follow-up

Attention to deadlines

Detail orientation

Tools

CAQH

PECOS

Commercial payer portals

Job description

You run provider enrollment and re-credentialing across commercial payers, Medicaid and TRICARE. You own applications end to end, keep CAQH and PECOS current, and track every expirable so nothing lapses. Credentialing delays are unbillable capacity, so speed and accuracy here are directly financial.

What you will own: Enrollment applications; CAQH and PECOS currency; Expirables tracking; Payer follow-up; Re-credentialing; Status reporting

What we look for: Two or more years in US provider credentialing and payer enrollment; Hands-on with CAQH, PECOS and commercial payer portals; Medicaid and TRICARE enrollment experience; Meticulous document and deadline discipline; Comfortable following up persistently with payers