Credentialing Specialist RCM

Credentialing Specialist – RCM (US Healthcare)

Medibill LLP is hiring an experienced Credentialing Specialist to manage end-to-end provider enrollment and credentialing with US insurance payers.

Responsibilities:

• Handle provider credentialing with Medicare, Medicaid, and commercial payers
• Submit and track applications through CAQH, PECOS, and NPPES
• Manage re-credentialing and re-validation
• Follow up with payers for status updates
• Maintain provider records and documentation
• Coordinate with billing team to avoid claim denials due to credentialing issues

Requirements:

• 1–3 years of US healthcare credentialing experience
• Strong knowledge of CAQH, PECOS, EFT/ERA enrollment
• Good communication and follow-up skills
• Ability to work in US Shift (5 PM – 2 AM IST)

Immediate joiners preferred.

Job Types: Full-time, Permanent

Pay: ₹35,000.00 - ₹45,000.00 per month

Work Location: In person