Provider Credentialing Associate (Hyderabad)

Provider Credentialing Associate (Hyderabad)

19 Sep
|
Edvak EHR
|
Hyderabad

19 Sep

Edvak EHR

Hyderabad

Dear Candidate,

About Company

Edvak is a US-based SaaS company transforming the healthcare sector with our innovative AI solutions. We are dedicated to excellence, creativity, and innovation, delivering exceptional services to our clients. Our operations in India are based in the vibrant city of Hyderabad.

As we continue to expand, we are looking for a agile Content Strategist/Marketer to lead our content marketing efforts and drive Edvak's success in a competitive market.

Website: www.edvak.com

Address:

IndiQube Pearl, Beside Rolling Hills and Ramky Towers, Mindspace Rd, P Janardhan Reddy Nagar, Gachibowli, Telangana 500032

Position: Provider Credentialing Associate

Experience: 3–5 Years preferred

Domain: US Healthcare / Provider Credentialing

Responsibility: Independent end-to-end management of assigned client accounts

We are looking for an experienced Provider Credentialing Associate who can independently manage the complete credentialing and payer enrollment activities for an assigned healthcare client.

Key Responsibilities




- Independently manage provider credentialing and enrollment for assigned clients.
- Complete initial credentialing, recredentialing, and payer enrollment with Medicare, Medicaid, and commercial insurance plans.
- Maintain and update CAQH profiles and attestations.
- Handle PECOS, NPPES, state Medicaid portals, Availity, payer portals, and other enrollment systems.
- Submit and follow up on group and individual provider enrollments.
- Manage NPI–TIN affiliations, practice/location additions, demographic changes, EFT and ERA enrollments.
- Track applications from submission through approval and maintain accurate credentialing trackers.
- Follow up directly with payers regarding pending, returned, or rejected applications.
- Verify effective dates and participation/network status before communicating completion.
- Maintain provider documents such as licenses, DEA, malpractice insurance, W-9, board certifications, and other require

📌 Provider Credentialing Associate (Hyderabad)
🏢 Edvak EHR
📍 Hyderabad

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