Job Title: Senior Process Executive Voice (Provider Credentialing)

Experience Required: 6+ Years (End-to-End Provider Credentialing)

Shift Timing: 4:30 PM 1:30 AM IST

Job Summary:

The Senior Process Executive Voice will be responsible for managing end-to-end

provider credentialing activities, including direct interaction with payors, health plans,

and regulatory bodies. The role requires robust hands-on expertise in provider

enrollment, re-credentialing, and compliance, along with excellent verbal

communication skills to handle voice-based coordination with US stakeholders.

Key Responsibilities:

Provider Credentialing & Enrollment

• Handle end-to-end provider credentialing and re-credentialing for physicians

and medical groups.

• Manage Medicare and Medicaid enrollments, updates, and revalidations.

• Complete and maintain provider profiles across all required platforms.

Systems & Databases

• Maintain and update provider data in:

- CAQH
- NPDB
- SAM.gov
- Medicare / Medicaid portals

• Ensure accuracy and completeness of all credentialing documentation.

Voice & Stakeholder Coordination

• Conduct outbound and inbound calls with health plans, payors, and regulatory

bodies to follow up on credentialing status.

• Communicate effectively with providers to collect missing documentation and

clarify discrepancies.





• Maintain detailed call notes and follow-up trackers.

Compliance & Quality

• Ensure adherence to CMS, state, and payor-specific credentialing guidelines.

• Identify and resolve credentialing issues, discrepancies, and delays.

• Maintain high quality standards and meet defined SLAs and TATs.

Reporting & Documentation

• Maintain credentialing trackers, status reports, and audit documentation.

• Support internal audits and compliance reviews as required.

Required Skills & Qualifications:

• 6+ years of hands-on experience in end-to-end provider credentialing.

• Strong working knowledge of:

- CAQH
- NPDB
- SAM.gov
- Medicare and Medicaid

• Excellent verbal communication skills for US voice processes.

• Strong attention to detail and documentation accuracy.

• Ability to manage multiple providers and payors simultaneously.

• Familiarity with US healthcare compliance and regulatory requirements.

Preferred Skills:

• Experience working with multiple US health plans.

• Prior exposure to voice-based credentialing or payer follow-ups.

• Ability to work independently with minimal supervision.

Immediate Joiner Only

Interested candidate can reach us at [email protected]

📌 Senior Process Executive (Voice Provider Credentialing) (Chennai)
🏢 Amvik Solutions
📍 Chennai