16 Aug
|
Flatworld Healthcare Services Private
|
Bengaluru
16 Aug
Flatworld Healthcare Services Private
Bengaluru
Dear All,
Greetings from Flatworld Healthcare Services.
WE ARE HIRING
Job Title: Credentialing & Provider Enrollment Specialist
Department: Revenue Cycle Management (RCM)
Experience Required: 2 to 5 Years
Location: Bangalore
Employment Type: Full-time
Interested candidates can share their CVs at
[email protected] or contact (phone hidden)
Job Summary:
We are seeking a detail-oriented and proactive Credentialing & Provider Enrollment Specialist with 2 to 5 years of experience in the healthcare RCM domain. The ideal candidate will be responsible for managing end-to-end provider credentialing, re-credentialing, enrollment with insurance payers, and contract negotiation activities while ensuring compliance with regulatory standards and timelines.
Key Responsibilities:
- Complete initial and re-credentialing applications for healthcare providers
• Submit and track enrollment applications with Medicare, Medicaid, and commercial payers
• Maintain and update provider information in internal databases and payer portals
• Monitor expirables (licenses, certifications, etc.)
and ensure timely renewals
• Communicate with providers, payers, and internal teams to resolve enrollment issues
• Ensure compliance with payer-specific and regulatory credentialing requirements
• Follow up with insurance companies to check application status and resolve delays
• Assist in audits and provide necessary documentation as required
• Handle payer contract negotiations, follow-ups, and agreement coordination
Qualifications:
- 2 to 5 years of hands-on experience in provider credentialing and enrollment
• Experience in contract negotiation with insurance payers is preferred
• Knowledge of payer requirements and CAQH, PECOS, NPPES, etc.
• Robust communication, organizational, and follow-up skills
• Proficient in MS Office and credentialing software/tools
Preferred Skills:
- Experience working with U.S. healthcare providers
• Familiarity with medical billing and insurance guidelines
• Abili
📌 Credentialing Specialist (Bengaluru)
🏢 Flatworld Healthcare Services Private
📍 Bengaluru