Job Title :
Credentialing
Qualification :
Any graduate
Relevant Experience :
1 - 4 Years
Must Have Skills :
1.Experience handling credentialing denials related to provider enrollment and claims
2. Collecting, reviewing, and verifying provider information, licenses, certifications, and
Related documents from payors’ perspective
3. Strong knowledge of payor policies, payer -provider contracts, and compliance requirements
4. Excellent communication skills for liaising with providers and internal teamsPositive Have Skills :
1.Familiarity with insurance payor systems and workflows
2. Experience with US healthcare payor credentialing processes
3. Basic understanding of claim adjudication and denial managementRoles and Responsibilities :
1.Review and verify provider credentials to ensure compliance with payor requirements
2.



Manage and resolve credentialing denials, working closely with providers and internal payor teams
3. Maintain accurate records for audit and regulatory compliance purposes
4. Collaborate with payor teams to facilitate smooth provider enrollment and credentialing processes
5. Communicate effectively with providers and stakeholders to resolve credentialing issues promptlyLocation :
Bangalore
CTC Range :
Max 5LPA
Notice Period :
Immediate joiners preferred
Mode of Interview :
Face to Face
Shift Timing :
US Shift
Mode of Work :
Work from Office