This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for an Accounts Receivable Executive based in India.
We are seeking an organized and detail-oriented professional to support provider credentialing and enrollment processes within the US healthcare revenue cycle. In this role, you will manage credentialing applications and maintain accurate provider records with insurance payers. You will work closely with healthcare providers, insurance carriers, and internal teams to ensure credentials remain current and approvals are obtained on time. Your work will help prevent claim denials and payment delays caused by credentialing issues. This is a full-time, remote opportunity with an EST night shift, offering the chance to contribute to efficient revenue cycle operations in a collaborative environment.
Accountabilities
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Manage end-to-end provider credentialing and re-credentialing processes with insurance companies.
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Maintain and update provider information in internal systems and payer portals.
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Verify essential provider credentials and documentation, including NPI, CAQH, state licenses, DEA registration, and malpractice insurance.
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Monitor credentialing applications and follow up with insurance payers to track approval progress.
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Collaborate with the Accounts Receivable team to investigate and resolve claim denials or payment issues resulting from credentialing delays.
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Maintain accurate records of credentialing activities and ensure compliance with payer requirements.
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Communicate with providers and internal stakeholders regarding application status, outstanding information, and missing documentation.
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Support revenue cycle operations by ensuring providers are active and eligible with insurance payers for billing.
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Bachelor’s degree in healthcare administration or a related field is preferred; equivalent professional experience may also be considered.
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1–4 years of experience in Accounts Receivable, provider credentialing, and enrollment within the US healthcare sector.
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Familiarity with provider credentialing processes and insurance payer requirements.
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Knowledge of provider identifiers and documentation, including NPI, CAQH, state licenses, DEA registration, and malpractice insurance.
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Strong organizational skills and attention to detail, with the ability to manage multiple applications and deadlines.
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Effective written and verbal communication skills for coordinating with providers, payers, and internal teams.
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Ability to follow up proactively, maintain accurate documentation, and work collaboratively to resolve issues.
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Remote work arrangement.
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Full-time employment.
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Night shift aligned with US Eastern Standard Time (EST).