Provider Credentialing Professional / Application Specialist

Overview

We are searching for a detail-oriented and motivated Provider Credentialing Professional / Application Specialist to join our team in Chennai (Perungudi). This full-time role operates on a night shift schedule from 6 PM to 3 AM. The position requires someone with extensive experience managing provider enrollment, credentialing, and licensing processes within the healthcare sector, especially in US healthcare environments.

Primary Responsibilities

• Oversee the complete provider enrollment and credentialing cycle across various specialties and payer categories.
• Prepare, scrutinize, and submit provider applications accurately and within given deadlines.
• Monitor application progress, identify missing documentation, and diligently pursue approvals.
• Ensure precision and compliance in provider credentialing and licensing tasks.
• Maintain and update provider information in healthcare portals including CAQH, Medicaid, Medicare/PECOS, and NPI databases.
• Manage provider data consistency across multiple systems.
• Engage in professional communication with providers, payers, and internal teams via phone and email to clarify queries and acquire necessary information.
• Deliver clear and effective voice-process communication using a lively and confident approach.
• Perform rigorous data validation, verification, and quality assurance on credentialing data before submission.
• Use Google Sheets and Docs efficiently, including advanced formulas and pivot tables, to track application status and productivity.
• Prepare and distribute provider Welcome Kits, and upload provider contracts ensuring all records are accurate and well-maintained.

Required Qualifications and Skills

• At least 3 to 5 years of practical experience in provider credentialing, enrollment, and licensing.
• Proficient handling of CAQH, Medicaid, Medicare/PECOS, and NPI portals.
• Strong verbal and written communication capabilities, with prior exposure to voice-based healthcare processes.
• Exceptional accuracy, attention to detail, and ability to manage high workloads efficiently.
• Solid organization skills with independence and team collaboration.
• Excellent typing speed, and strong mastery of Google Sheets and Google Docs.
• Understanding of HIPAA compliance and confidentiality standards.

Preferred Attributes

• Experience with credentialing and payer requirements specific to Florida.
• Background in Healthcare Administration, Health Information Management, Business Administration, or Public Health.
• Experience working directly with US healthcare providers and payers.
• Knowledge of multi-state provider licensing and credentialing.
• Strong analytical skills and capability to track and interpret data effectively.

Ideal Candidate Profile

The ideal applicant has a strong command over communication, deep understanding of provider credentialing processes, responsibility towards ownership, accuracy in execution, proactive follow-up, and provider interaction professionalism. Comfort with managing both data and interpersonal tasks is essential.

Why Work With Us?

• Gain valuable experience within the US Healthcare domain.
• Engage in critical provider enrollment, credentialing, and payer operations.
• Work alongside a focused, collaborative, and performance-driven team.
• Your communication and process expertise will directly impact business success and outcomes.