Credentialing Specialist

Job Overview:

We are looking for an experienced Credentialing Specialist to manage provider credentialing and insurance enrollment processes for healthcare clients. The ideal candidate should already have hands-on experience with credentialing workflows and be able to work independently with minimal training.

Key Responsibilities:

• Collect, verify, and maintain provider credentials including licenses, NPI, DEA, malpractice insurance, and certifications
• Complete and submit credentialing and re-credentialing applications to insurance companies
• Maintain and regularly update CAQH profiles
• Follow up with insurance payers regarding application status and approvals
• Handle provider enrollment, contracting, and payer communications
• Resolve credentialing delays, discrepancies, or rejected applications
• Maintain accurate records and documentation for all providers

Requirements:

• Prior experience in healthcare credentialing/provider enrollment is mandatory
• Knowledge of CAQH, NPI, DEA, Medicare, Medicaid, and commercial insurance credentialing
• Strong follow-up and communication skills
• Ability to work independently with minimal supervision
• Attention to detail and ability to meet deadlines
• Experience with US healthcare processes preferred

Working Hours:

• 9 PM - 6 AM
• Saturday-Sunday Fixed Off