Accounts Receivable Executive

Medusind

4d

About The Position

The AR Credentialing Specialist manages provider enrollment and credentialing processes with insurance payers to support accurate and timely reimbursements. The role coordinates with providers, insurance carriers, and internal teams to keep credentials up to date and minimize claim denials related to credentialing issues.

Responsibilities include handling provider credentialing and re-credentialing, maintaining provider data in internal systems and payer portals, verifying credentials and related information, tracking applications and following up with payers, and collaborating with the Accounts Receivable team to address credentialing-related denials or payment issues. The position also maintains credentialing documentation, communicates status updates and missing-documentation needs, and supports the revenue cycle by ensuring providers are active and eligible with payers for billing.

Requirements

• 1–4 years of experience in Accounts Receivable, credentialing, and enrollment within US healthcare.
• Bachelor’s degree or equivalent experience in healthcare administration or a related field; a bachelor’s degree is preferred.

Nice To Haves

• Bachelor’s degree in healthcare administration or a related field.

Responsibilities

• Handle end-to-end provider credentialing and re-credentialing with insurance companies.
• Maintain and update provider data in internal systems and payer portals.
• Verify provider information, including NPI, CAQH, state license, DEA, and malpractice insurance.
• Track credentialing applications and follow up with payers for approval status.
• Collaborate with the Accounts Receivable team to resolve denials or payment issues caused by credentialing delays.
• Maintain documentation of credentialing activities and ensure compliance with payer requirements.
• Communicate with providers and internal teams about status updates and missing documentation.
• Support the revenue cycle by ensuring providers are active and eligible with payers for billing.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level