We need someone who can own the entire credentialing and enrollment function from initial applications to contract negotiations — with zero handholding. If you know your way around CAQH, PECOS, NPPES, and every major payer portal, and you can juggle multiple providers across multiple states without dropping the ball, this role is for you.

Key Responsibilities
End-to-end provider enrollment with all commercial and government payers (Medicare, Medicaid, BCBS, Aetna, Cigna, UHC, and more)
CAQH profile creation, maintenance, and attestation
PECOS, NPPES, NCTracks, and state Medicaid portal enrollments
Track and manage credentialing timelines, expiry dates, and re-credentialing across all providers
Negotiate and manage payer contracts — fee schedules, rates, and terms
Handle hospital credentialing and privileging
Maintain accurate, up-to-date records of all credentials, licenses, and enrollments
Communicate directly with payers, providers, and clients — follow up, escalate, resolve




Know and apply state-specific rules and requirements for all 50 states
Generate weekly/monthly credentialing status reports for clients
Proactively flag issues before they impact billing or collections

Requirements
Minimum 3 years of hands-on US healthcare credentialing and enrollment experience
Solid knowledge of all major payers and government programs
Experience with payer contract negotiation
Familiar with credentialing software / trackers
Excellent written and verbal English communication
Highly organized — able to manage multiple providers simultaneously without errors
Quick, detail-oriented, and able to work independently
Comfortable working US shift hours (6:30 PM to 3:30 AM IST)
Must have a positive computer and 100+ Mbps internet connection

Immediate joiners only. Applications from candidates with a notice period will not be considered. Apply here: drbillerz.com/careers/

📌 Provider Credentialing & Enrollment Specialist Bengaluru
🏢 Dr.Billerz
📍 Bengaluru