Credentialing Team Lead / Specialist / Executive (Mysuru)

Credentialing Team Lead / Specialist / Executive (Mysuru)

31 Oct
|
ACCESSION CONSULTING u0026 HEALTH TECH
|
Mysuru

31 Oct

ACCESSION CONSULTING u0026 HEALTH TECH

Mysuru

We're Hiring | Credentialing Team Lead / Specialist / ExecutiveLocation: Mysuru, Karnataka

Industry: US Healthcare – Revenue Cycle Management (RCM)

Shift: Night Shift (US Shift)

Employment Type: Full time | Work from Office

Accession Consulting HealthTech LLP (ACHT) is expanding its Credentialing team and looking for talented professionals to join us across three positions:

- Credentialing Group Lead / Team Lead
- Credentialing Specialist
- Credentialing Executive

Whether you are an experienced credentialing skilled ready to lead a team or someone looking to build a career in US healthcare credentialing, we would love to hear from you. About Accession Consulting HealthTech LLPACHT 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 (RCM) practice covers eligibility verification, billing, coding, denials and appeals, supported by dedicated revenue cycle managers and subject matter experts.

We work across major healthcare specialties, including Behavioral Health, Psychiatry, Pain Management, Pathology, Gastroenterology, DME and Internal Medicine.

Our teams work with leading healthcare platforms such as eClinicalWorks, AdvancedMD, athenahealth, Epic, TherapyNotes, Office Ally, Brightree and Veradigm, along with major clearinghouses including Waystar, Availity, Change Healthcare and TriZetto.

In addition to RCM, ACHT offers Customer Relationship Management, software and web development, and digital marketing services for the healthcare sector.

Our operations are supported by a HIPAA-compliant, paperless infrastructure with enterprise-grade security and 24×7 monitoring.

Website: www.accessionhealthtech.com

Positions & Responsibilities1. Credentialing Group Lead / Team LeadWe are looking for an experienced credentialing professional who can lead a team, manage client/provider portfolios and ensure smooth execution of credentialing operations.

Key Responsibilities:

- Lead, manage and monitor the day-to-day credentialing operations.
- Allocate workloads, monitor team productivity and ensure timely completion of applications.
- Handle escalations and resolve complex payer enrolment issues.
- Oversee initial credentialing, re-credentialing and revalidation for individual providers and groups.
- Ensure accurate maintenance of CAQH, PECOS, NPPES and payer portal records.
- Monitor application turnaround times, pending cases and approval statuses.
- Coordinate with providers,



payer representatives and internal RCM teams.
- Prepare operational reports, identify process gaps and implement improvements.
- Train, mentor and support team members.
- Ensure compliance with internal quality standards and client requirements.

What We're Looking For:

- Strong hands-on experience in US healthcare credentialing and payer enrolment.
- Previous experience handling or leading a credentialing team.
- Good understanding of Medicare, Medicaid and commercial payer processes.
- Working knowledge of CAQH, PECOS, NPPES and payer portals.
- Strong leadership, communication and problem-solving skills.
- Ability to manage team performance, escalations and operational deliverables.

2. Credentialing SpecialistWe are looking for experienced Credentialing Specialists who can independently manage provider enrolment and credentialing processes from application submission through final approval.

Key Responsibilities:

- Manage initial credentialing, re-credentialing and revalidation.
- Prepare, submit and track applications with Medicare, Medicaid and commercial payers.
- Maintain and update CAQH profiles, PECOS, NPPES and payer portals.
- Verify provider licences, DEA registrations, board certifications and malpractice insurance.
- Follow up with payers until approvals and effective dates are confirmed.
- Track expirables and renewal timelines to prevent credentialing lapses.
- Communicate with providers to collect required documentation.
- Maintain accurate credentialing records, trackers and status reports.
- Coordinate with billing and AR teams to ensure enrolment status is updated.
- Support EDI, ERA and EFT enrolment wherever required.

What We're Looking For:

- Hands-on experience in US healthcare provider credentialing.
- Knowledge of Medicare, Medicaid and commercial payer enrolment.
- Familiarity with CAQH, PECOS, NPPES and payer portals.
- Strong written and verbal English communication.
- Excellent attention to detail and organisational skills.
- Ability to independently manage multiple applications and deadlines.

3.



Credentialing ExecutiveWe are also looking for Credentialing Executives who have a basic understanding of US healthcare credentialing or are looking to develop their expertise in this field.

Key Responsibilities:

- Assist with provider credentialing and enrolment activities.
- Collect, verify and organise provider documentation.
- Assist in preparing and submitting credentialing applications.
- Update provider information in CAQH and other relevant portals.
- Follow up on pending applications and maintain status trackers.
- Monitor documentation requirements and upcoming expirations.
- Coordinate with internal teams and support day-to-day credentialing activities.
- Ensure accuracy and timely completion of assigned tasks.

What We're Looking For:

- Basic understanding or experience in US healthcare credentialing is preferred.
- Knowledge of US healthcare terminology and payer enrolment is an advantage.
- Good communication and follow-up skills.
- Basic MS Excel and computer proficiency.
- Willingness to learn and take ownership of assigned responsibilities.
- Freshers with relevant healthcare RCM knowledge may also apply.

Preferred Skills Across PositionsThe following experience will be an added advantage:
- Behavioral Health / Mental Health credentialing.
- Group and facility enrolment.
- EDI, ERA and EFT enrolment.
- CVO processes.
- Payer contract negotiations and fee schedule discussions.
- Understanding of how credentialing gaps impact claim denials and accounts receivable.

What We Offer
- Competitive, market-leading compensation based on experience, skills and role.
- Attractive night shift allowance, over and above fixed salary.
- Family health insurance coverage for employees and their families.
- Exposure to multiple US healthcare specialties, with strong depth in Behavioral Health.
- Opportunities to work with experienced RCM professionals.
- Career growth opportunities, including progression into senior and leadership positions.
- A skilled and growth-oriented working environment.

How to ApplyInterested candidates can apply directly through LinkedIn or share their updated CV at: [email protected]

Email Subject: Credentialing – Mysuru

Work Location: Mysuru, Karnataka

Work Arrangement: Work from Office | Night Shift

Accession Consulting HealthTech LLP is an equal opportunity employer. We consider all qualified applicants without regard to gender, religion, caste, marital status, disability or any other protected characteristic.

Join ACHT and be part of a growing team transforming healthcare operations through technology and expertise!

📌 Credentialing Team Lead / Specialist / Executive (Mysuru)
🏢 ACCESSION CONSULTING u0026 HEALTH TECH
📍 Mysuru

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