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.
- Strong 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

• Ability to manage multiple priorities in a deadline-driven workplace

Perks & Benefits: 5 Days Working

Provident Fund & Gratuity

Medical Insurance

Travel Allowance

Fresher and non-relevant experience applicants, please ignore!

📌 Credentialing Specialist (Bengaluru)
🏢 Flatworld Healthcare Services Private
📍 Bengaluru