Credentialing & Provider Enrollment Specialist

2 Months ago • 1-5 Years

Job Summary

Job Description

We are seeking an experienced Credentialing & Provider Enrollment Specialist for our Revenue Cycle Management (RCM) team. The ideal candidate will have a strong understanding of provider credentialing, payer enrollment processes, and compliance with Medicare, Medicaid, and commercial payers. Key responsibilities include managing provider credentialing and enrollment to ensure timely onboarding and reimbursement, minimizing claim denials related to credentialing, and maintaining network participation. This role requires close collaboration with healthcare providers, payers, and internal teams to uphold accuracy, compliance, and operational excellence. A minimum of 1-5 years of experience in healthcare credentialing and proficiency with platforms like CAQH and PECOS are essential.
Must have:
  • Provider credentialing
  • Payer enrollment
  • Medicare compliance
  • Medicaid compliance
  • 1-5 years experience
  • CAQH proficiency
  • PECOS proficiency
Good to have:
  • Healthcare RCM experience
Perks:
  • Remote work
  • Compliance focus
  • Accuracy focus
  • Operational excellence

Job Details

Join Our Team as a Credentialing & Provider Enrollment Specialist!

Are you an experienced professional in provider credentialing and payer enrollment? Do you have a strong understanding of Medicare, Medicaid, and commercial payer compliance? We are looking for a detail-oriented and organized Credentialing & Provider Enrollment Specialist to join our Revenue Cycle Management (RCM) team.

In this role, you will be responsible for managing provider credentialing, enrollment processes, and regulatory compliance to ensure timely onboarding and reimbursement. You will work closely with healthcare providers, payers, and internal teams to minimize credentialing-related claim denials and maintain network participation.

If you have 1-5 years of experience in healthcare credentialing, proficiency in CAQH, PECOS, and other credentialing platforms, and a passion for ensuring compliance and efficiency, we’d love to hear from you!

🚀 Why Join Us?
✔ Be part of a dynamic team ensuring compliance and efficiency in healthcare operations.
✔ Work remotely with a company that values accuracy, compliance, and operational excellence.
✔ Opportunity to collaborate with key stakeholders in Revenue Cycle Management (RCM).

Location: Remote (Gurugram, India)
Department: Revenue Cycle Management (RCM)

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