Credentialing Expert

Description:

TechMatter is hiring a Credentialing Expert to join our team. The ideal candidate will have a strong background in US healthcare credentialing, specifically with payer enrollment, CAQH maintenance, NPI registrations, and insurance portal navigation. This is a full-time, on-site position located in Block 2, P.E.C.H.S. with working hours from 6 PM to 3 AM (Night Shift).

As a Credentialing Expert, you will be responsible for managing re-credentialing processes, following up on pending statuses, and ensuring all client-specific requirements are met efficiently. The role requires a detail-oriented individual with excellent communication skills, a strong understanding of Medicare, Medicaid, and commercial insurance credentialing, and the ability to work independently and handle multiple tasks simultaneously.

Key Responsibilities:

• Manage US healthcare credentialing processes, including payer enrollment, CAQH maintenance, NPI registrations, and insurance portal navigation

• Handle re-credentialing and follow-ups, ensuring timely status tracking

• Ensure compliance with Medicare, Medicaid, and commercial insurance credentialing guidelines

• Work independently to manage and prioritize multiple tasks effectively

• Communicate effectively with clients and stakeholders, ensuring proper email etiquette and clear documentation

Required Skills:

• Minimum 2 years of experience in US healthcare credentialing

• Strong understanding of payer enrollment, CAQH maintenance, NPI registrations, and insurance portal navigation

• Familiarity with Medicare, Medicaid, and commercial insurance credentialing guidelines

• Excellent verbal and written communication skills

• Detail-oriented with the ability to multi-task and prioritize tasks effectively

• Quick learner with the ability to adapt to client-specific processes