Credentialing Specialist-Provider Enrollment

EL Revgen Healthcare Solutions; Chennai District; On-site; INR 300,000 - 600,000; Full time

Job summary

EL Revgen Healthcare Solutions is seeking a Credentialing Specialist to manage end-to-end enrollment processes in the Chennai region. The role requires coordinating with healthcare providers to collect necessary documents and leveraging CAQH to submit applications.

The incumbent will ensure adherence to Medicare, Medicaid, PECOS, and related US healthcare regulations, while working with internal teams to resolve discrepancies and maintain smooth credentialing operations.

Responsibilities

• Manage credentialing process from start to finish, ensuring timely and accurate processing of applications.
• Coordinate with healthcare providers to gather required documents and information for enrollment.
• Utilize CAQH system to submit applications and track progress.
• Ensure compliance with Medicare, Medicaid, PECOS, and US Healthcare regulations throughout the credentialing process.
• Collaborate with internal stakeholders to resolve any issues or discrepancies that may arise during credentialing.

Job description

Roles and Responsibilities

• Manage credentialing process from start to finish, ensuring timely and accurate processing of applications.
  
• Coordinate with healthcare providers to gather required documents and information for enrollment.
  
• Utilize CAQH system to submit applications and track progress.
  
• Ensure compliance with Medicare, Medicaid, PECOS, and US Healthcare regulations throughout the credentialing process.
  
• Collaborate with internal stakeholders to resolve any issues or discrepancies that may arise during credentialing.
  

Contact: HR [phone]