Credence Global Solutions (Credence Resource Management), a leading US Healthcare Revenue Cycle Management (RCM) organization, is hiring a Credentialing Coordinator for its Pune, Maharashtra location. This is a full-time, on-site opportunity for professionals with provider-side credentialing and payer enrollment experience in the US healthcare domain.
If you have hands-on experience in provider enrollment, re-credentialing, CAQH management, and AR calling, this role offers strong career growth in healthcare operations and payer management.
Key Responsibilities โ Credentialing Coordinator
- Manage provider enrollment and re-credentialing with US payers
- Perform payer follow-ups via calls, emails, and online portals
- Maintain and update CAQH profiles and provider demographic details
- Coordinate with internal teams and insurance companies for approvals
- Ensure compliance with payer-specific guidelines and regulations
- Handle NPI, Medicare, Medicaid, and commercial insurance processes
- Maintain accurate documentation and audit-ready credentialing records
Eligibility & Qualifications
- Mandatory hands-on credentialing experience (provider side)
- AR Callers with provider-side credentialing exposure may apply
- Strong calling / voice process experience is required
- Familiarity with US Healthcare RCM workflows
- Ability to work in US shift (night shift)
Required Skills
- Credentialing & Provider Enrollment
- Re-Credentialing & Payer Follow-ups
- CAQH, NPI Management
- Medicare, Medicaid & Commercial Insurance
- US Healthcare RCM & AR Calling
- Insurance Verification & Demographics Update
- Portal Access, Email & Telephonic Communication
- Compliance & Documentation
- Healthcare Operations (Provider Side)
Preferred Skills
- Prior experience with US healthcare provider-side credentialing
- Exposure to multi-payer enrollment environments
Salary & Compensation (Estimated)
๐ฐ โน3.5 LPA โ โน6.0 LPA (Based on experience and industry standards)
โ Performance-based growth
โ Stable US Healthcare operations role
โ Long-term career prospects in RCM
Job Location
๐ Pune, Maharashtra, India
๐ Full-Time | On-site | US Shift
How to Apply
๐ง Email your updated resume to:
ajey.singh@in.credencerm.com