Walk-in | Hiring For credentialing Executive

Asprcm Solutions; Chennai; On-site; INR 350,000 - 520,000; Full time

Job summary

Asprcm Solutions in Chennai (Kosmo One, Ambattur) is hiring a Credentialing Executive to handle calling and application workflows for US healthcare providers. The role requires 1–4 years of US healthcare RCM experience and strong communication skills, with attention to detail and organizational excellence.

You will manage outbound calls to insurance payers, submit credentialing applications, verify licensure and NPI data, and maintain accurate records while ensuring compliance and timely

Qualifications

• Graduate in any discipline.
• 1 to 4 years experience in US healthcare RCM.
• Excellent communication skills.
• Good understanding of provider enrollment, credentialing processes, and payer portals.

Responsibilities

• Make outbound calls to insurance companies, hospitals, and healthcare organizations regarding provider credentialing and enrollment status.
• Follow up on pending credentialing applications and obtain status updates.
• Verify provider information, including licenses, certifications, DEA registrations, and NPI details.
• Maintain detailed call logs and update credentialing databases.
• Coordinate with credentialing specialists and internal teams to resolve enrollment issues.
• Escalate delayed or problematic applications as required.
• Track application turnaround times and ensure timely follow-up.
• Ensure compliance with payer and regulatory requirements.
• Prepare reports on credentialing statuses and outstanding cases.
• Prepare, submit, and manage initial credentialing, recredentialing, and enrollment applications for healthcare providers (physicians, APPs, facilities).
• Complete applications for commercial payers, Medicaid, Medicare, and hospital systems (e.g., CAQH, Availity, PECOS, GAMMIS, state Medicaid portals).
• Track application status and follow up with payers to ensure timely approvals.
• Maintain accurate credentialing records, provider rosters, and supporting documentation.

Skills

Communication

Attention to detail

Organizational skills

Education

Graduate degree

Tools

CAQH

Availity

PECOS

GAMMIS

Medicaid portals

Job description

Hiring for Credentialing Executive - Calling & Application

Designation: Credentialing Executive

Experience: 1 to 4 years

Location : Kosmo One, Ambattur, Chennai Work from Office

Key Responsibilities:-

For Credentialing Calling:

• Make outbound calls to insurance companies, hospitals, and healthcare organizations regarding provider credentialing and enrollment status.
• Follow up on pending credentialing applications and obtain status updates.
• Verify provider information, including licenses, certifications, DEA registrations, and NPI details.
• Maintain detailed call logs and update credentialing databases.
• Coordinate with credentialing specialists and internal teams to resolve enrollment issues.
• Escalate delayed or problematic applications as required.
• Track application turnaround times and ensure timely follow-up.
• Ensure compliance with payer and regulatory requirements.
• Prepare reports on credentialing statuses and outstanding cases.

For Credentialing Application :

• Prepare, submit, and manage initial credentialing, recredentialing, and enrollment applications for healthcare providers (physicians, APPs, facilities).
• Complete applications for commercial payers, Medicaid, Medicare, and hospital systems (e.g., CAQH, Availity, PECOS, GAMMIS, state Medicaid portals).
• Track application status and follow up with payers to ensure timely approvals.
• Maintain accurate credentialing records, provider rosters, and supporting documentation.

Requirements:

• Graduate in any discipline.
• 1 to 4 years experience in US healthcare RCM.
• Excellent communication skills.
• Good understanding of provider enrollment, credentialing processes, and payer portals will be an added advantage.
• Strong attention to detail and excellent organizational skills

What We Offer?

• Competitive salary package.
• Professional growth opportunities within the US Healthcare RCM industry.
• Dynamic and collaborative work environment.
• Exposure to leading healthcare providers and payer networks.