Dear Candidate,

Greetings!

We are looking for a Senior Process Executive / Lead - Provider Credentialing for Amvik Solutions Pvt. Ltd., at our Chennai office in Porur.

Please find the as follows;

Job Title: Senior Process Executive 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-endprovider credentialing activities, including direct interaction with payors, health plans,and regulatory bodies. The role requires strong hands-on expertise in providerenrollment, re-credentialing, and compliance, along with excellent verbalcommunication skills to handle voice-based coordination with US stakeholders.

Key Responsibilities:Provider Credentialing & Enrollment• Handle end-to-end provider credentialing and re-credentialing for physiciansand 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 regulatorybodies to follow up on credentialing status. • Communicate effectively with providers to collect missing documentation andclarify 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.• Solid attention to detail and documentation accuracy.• Ability to manage multiple providers and payors simultaneously.• Familiarity with US healthcare compliance and regulatory requirements.

Please send your resume to [email protected] or apply on the Job Posting for sharing your application for the Job role. Regards,

Human Resources

Amvik Solutions Pvt. Ltd.,

📌 Senior Process Executive/ Lead - Provider Credentialing (Chennai)
🏢 Amvik Solutions
📍 Chennai