16 Aug
|
Finnastra
|
Bengaluru
16 Aug
Finnastra
Bengaluru
Company Description
Founded in 2010 and headquartered in Bengaluru, Finnastra is a technology-driven B2B solutions provider specializing in Revenue Cycle Management (RCM), Credentialing, Corporate Finance, and PM & EHR Software. We empower healthcare providers, payers, and credentialing organizations to optimize financial performance and streamline operations through innovative, tech-enabled solutions. Our mission is to drive transparency, efficiency, and excellence across the healthcare ecosystem.
Role: Credentialing Specialist
? Location: On-site – Bengaluru
? Type: Full-Time
*Freshers are requested not to waste their and our time by applying*
Role Overview
We are seeking a detail-oriented and proactive Credentialing Specialist to join our agile team in Bengaluru. In this role, you will be responsible for ensuring that healthcare providers are properly enrolled and credentialed with payers, maintaining compliance with industry regulations, and managing all aspects of the credentialing lifecycle.
Key Responsibilities
- Manage provider enrollment and payer credentialing processes (Medicare, Medicaid, commercial payers)
- Maintain and update CAQH profiles, licenses, certifications, and insurance documents
- Conduct primary source verifications and follow up with providers and payers for timely approvals
- Handle contracting and re-credentialing activities
- Ensure all credentialing documentation complies with payer and regulatory requirements
- Track and manage credentialing deadlines, expirations, and renewals
- Collaborate with internal teams and clients to resolve credentialing issues or delays
- Deliver excellent customer service and maintain detailed records in credentialing databases
Qualifications & Skills
- 3-6 years of experience in provider credentialing, enrollment, or healthcare administration
- Strong understanding of payer enrollment, CAQH, Medicare/Medicaid regulations, and contracting workflows
- Excellent communication and interpersonal sk
📌 Credentialing/Provider Enrollment Specialist (Bengaluru)
🏢 Finnastra
📍 Bengaluru