**Role Responsibilities** : + In-depth knowledge and experience in the US healthcare (Non Voice) – Provider Data Validation and Provider Data management. + Candidate should have 3 years and above experience in US healthcare and into provider enrollment and credentialling. + Ensures day-day transactions are processed per standard operating procedures. + Follows Work process flow to ensure pends are completed and maintain Quality and timeliness standards. + Knowledge in Amisys and Cenprov application are preferred. + Product knowledge in checking affiliation for Medicaid, Medicare and Exchange. + Everyday checked Contract information in Payment Index such as, Pay class, override key, accepts code and etc. + Ability to read and understand the provider contract. + Handling Paid claims and recouped claims. + Claims Rejections handling. + Working in claims denial management. + Knowledge about End to End provider billing process. + Working knowledge in EDI rejection claims + Handing Patient and provider demographic changes. **Required Skills** : + 3 to 5 years of experience in US healthcare working with Provider Data Enrollment and Management. + Ability to work in a 24/5 environment; shifts can be rotational. + University degree or equivalent that required 3+ years of formal studies. + Ability to work in a team environment. + Good logical thinking ability. + Good English Comprehension/written skills should have exposure to MS Office. + Good Communication Skills – Both Verbal and Written + Ability to interact with clients preferred. **Required schedule availability for this position is 24/5 and the shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend’s basis business requirement.