Credentialing & Provider Enrollment Specialist – Healthcare RCM

Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

1-5 years of experience in healthcare credentialing, Strong understanding of Medicare, Medicaid, and commercial payer compliance, Proficiency in CAQH, PECOS, and other credentialing platforms, Detail-oriented and organized with a passion for compliance and efficiency..

Key responsibilities:

  • Manage provider credentialing and enrollment processes
  • Ensure regulatory compliance for timely onboarding and reimbursement
  • Collaborate with healthcare providers, payers, and internal teams
  • Minimize credentialing-related claim denials and maintain network participation.

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Practice Tech Solutions Marketing & Advertising TPE https://practicetechsolutions.com/
11 - 50 Employees
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Job description

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)

Required profile

Experience

Industry :
Marketing & Advertising
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Organizational Skills
  • Detail Oriented

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