Role & responsibilities

Send your resumes to [email protected] ,

Call from 12 PM to 9:45 PM only

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Credentialing:

- Manage the end-to-end credentialing and recredentialing process for healthcare providers.
- Verify provider qualifications, including education, training, licensure, certifications, work history, malpractice coverage, and background checks.
- Prepare and submit credentialing applications to insurance payers, hospitals, and regulatory organizations.
- Track application status and follow up with payers to ensure timely processing.
- Maintain accurate provider files and credentialing databases.
- Monitor expiration dates for licenses, certifications, DEA registrations, malpractice insurance, and other required documents.
- Ensure compliance with federal, state, payer, and accreditation standards.




- Coordinate with providers to obtain missing documentation and resolve credentialing issues.
- Respond to payer requests and audits related to provider credentials.
- Generate credentialing reports and maintain documentation for internal and external audits.
- Collaborate with enrolment, contracting, billing, and compliance teams to support provider onboarding and participation.
- Familiarity with CAQH, NPI, PECOS, Medicare, Medicaid, and commercial payer credentialing processes.
- Knowledge of credentialing standards, provider enrolments, and healthcare regulations.

ERA & EFT Enrollment in Credentialing

Preferred candidate profile

📌 Walk-in || Credentialing Specialist - Medical Billing Only (Coimbatore)
🏢 Opx Global
📍 Coimbatore