Credentialing Specialist Accession Consulting HealthTech LLP (ACHT) Mysuru, Karnataka · Full-time · Work from office
About Accession Consulting HealthTech LLP ACHT is a healthcare services and technology (HST) company delivering end-to-end support to US healthcare providers — from patient access through to claim submission. Our Revenue Cycle Management practice covers eligibility verification, billing, coding, denials and appeals, backed by dedicated revenue cycle managers and subject matter experts.
We work across major specialties including Behavioral Health, Psychiatry, Pain Management, Pathology, Gastroenterology, DME and Internal Medicine, and our teams are experienced on leading platforms such as eClinicalWorks, AdvancedMD, athenahealth, Epic, TherapyNotes, Office Ally, Brightree and Veradigm, along with clearing houses including Waystar, Availity, Change Healthcare and TriZetto.
Alongside RCM, ACHT offers Customer Relationship Management, software and web development, and digital marketing services for the healthcare sector. Our operations run on a HIPAA-compliant, paperless infrastructure with fingerprint access control, enterprise firewalls and 24×7 monitoring.
Learn more: www.accessionhealthtech.com
About the Role We are looking for a Credentialing Specialist to manage provider enrolment and credentialing end-to-end for our US healthcare clients. You will be the link between our providers and payers — preparing and submitting applications, tracking them to approval, keeping provider records current, and making sure nothing lapses.
This is a hands-on role with real ownership. If you enjoy detailed work, following up until things close,
and understanding how enrolment affects revenue downstream, you will do well here.
What You'll Do
- Manage initial credentialing, re-credentialing and revalidation for providers and groups across Medicare, Medicaid and commercial payers
- Prepare, submit and track enrolment applications; follow up with payers until approval and effective dates are confirmed
- Maintain and update CAQH profiles, PECOS, NPPES and payer portals
- Verify licences, DEA registrations, board certifications, malpractice insurance and other primary source documentation
- Track expirables and renewal timelines, and escalate before anything lapses
- Communicate with providers to collect documentation and with payer representatives to resolve application issues
- Maintain accurate credentialing records, trackers and status reports
- Coordinate with billing and AR teams so enrolment status is reflected correctly in claim submission
- Support EDI/ERA/EFT enrolment set-up where required
What We're Looking For Required
- 1–5 years of hands-on experience in provider credentialing or payer enrolment for US healthcare
- Working knowledge of Medicare, Medicaid and commercial payer enrolment processes
- Familiarity with CAQH, PECOS, NPPES and payer provider portals
- Strong written and verbal English communication — you will be dealing directly with providers and payer representatives
- Excellent attention to detail and organisational discipline; comfortable managing multiple applications and deadlines at once
- Ability to work independently, own your queue and follow through without being chased
- Comfortable with Excel and credentialing trackers
Preferred (an advantage, not essential)
- Experience with Behavioral Health / Mental Health credentialing
- Experience with EDI, ERA and EFT enrolment
- Exposure to payer contract negotiation and fee schedule discussions
- Experience with group / facility enrolment and CVO processes
- Understanding of how credentialing gaps affect claim denials and AR
What We Offer
- Strong, market-leading compensation — per annum, benchmarked against the best in the RCM industry
- Night shift role with one of the highest shift allowances you'll find — per month, over and above your fixed salary
- Health insurance covering you and your family, not just the employee
- Exposure to a broad specialty mix, with strong depth in Behavioral Health
- Direct ownership of your provider portfolio and scope to grow into a senior or lead credentialing role
How to Apply Apply through LinkedIn, or send your CV to
[email protected] with the subject line "Credentialing Specialist – Mysuru".
Accession Consulting HealthTech LLP is an equal chance employer. We consider all qualified applicants without regard to gender, religion, caste, marital status, disability or any other protected characteristic.
📌 Credentialing Specialist (Mysuru)
🏢 ACCESSION CONSULTING u0026amp; HEALTH TECH
📍 Mysuru