Immediate Opening For TL - DME/ Opening For Credentialing - US RCM

Greetings from Bristol Healthcare Services, Chennai Pvt. Ltd !!!

Greetings from Bristol Healthcare Services Pvt Ltd Chennai

We are hiring for the following roles for our US Medical Billing Team in Chennai:

• Team Leader - DME

• Credentialinh

Important Note:

• Immediate joiners preferred
• Applicants, please mention the job title in the email body, e.g., 'Job Title - Applying for Team Leader DME
• Please do not apply fresher or other experienced

Job Title:Team Leader DME (WFO)

Experience:

• Min of 8+ yrs experience in US Medical Billing -AR & DME( Candidates with Other experience please ignore and do not apply )
• Very good exposure in DME Should have Immense knowledge in AR.
• Should have good Verbal and Written communication skills.
• Good TEAM handling and CLIENT coordination experience.
• Should have strong knowledge in end to end RCM.
• Should be flexible to work in Rotational shift.
• Remuneration best in the industry.

Job Title:Credentialing (WFO)

Job Summary:

• Manage end-to-end provider credentialing and re-credentialing for physicians and allied healthcare providers.
• Complete, review, and submit provider enrollment and credentialing applications accurately and on time.
• Verify provider credentials including licenses, board certifications, DEA, NPI, malpractice insurance, and work history.
• Ensure compliance with CMS, state regulations, and payer-specific guidelines.
• Coordinate with insurance payers, hospitals, and internal teams to obtain timely approvals.
• Maintain accurate and up-to-date credentialing files, databases, and payer portals.
• Handle CAQH maintenance, EFT/ERA enrollment, and payer portal setup.
• Track application status and follow up to resolve deficiencies or delays.
• Conduct audits and quality checks to ensure adherence to SLAs and compliance standards.
• Prepare credentialing status reports and performance metrics.
• Act as a point of contact for credentialing-related inquiries and escalations.

Required Skills & Qualifications:

• 1-6+ years of experience in U.S. healthcare credentialing or provider enrollment.
• Strong knowledge of credentialing and enrollment workflows.
• Experience with PECOS, CAQH, and payer portals.
• Excellent documentation, analytical, and communication skills.
• Strong attention to detail and time-management abilities

Preferred Attributes:

• Prior experience as in credentialing voice process.
• Experience working with U.S. healthcare providers or payers.
• Exposure to audits, compliance reviews, and regulatory requirements.
• Credentialing certification (CPCS, CPMSM, or equivalent) is a plus.

Job Location:

Work Mode:

Walkin between:

A7, Industrial Estate, Mogappair West, Chennai, Tamil Nadu 600037 .

Call @ HR :

E-Mail : hr@bristolhcs.com