15 Nppes Jobs

Job Title: Credentialing and Enrollment Specialist Department: Credentialing and Enrollment Location: Remote / India [Currently Work from Home] Experience: 5+ Years Shift Time: 6:30 Pm to 3:30 Am IST Profile Overview We are seeking a detail-oriented, proactive, and experienced Credentialing and Enrollment Specialist to join our growing team. In this role, youll manage the entire provider credentialing and payer enrollment lifecycle — ensuring compliance with payer and government regulations, timely reimbursements, and accurate provider data. This position requires strong organizational skills, hands-on technical expertise, and the ability to manage multiple payer relationships efficiently. R...

Job Description Manage credentialing for healthcare providers, ensuring accurate and timely processing. Verify provider credentials, licenses, and certifications for compliance. Coordinate with insurance companies to enroll providers and resolve enrollment issues. Maintain and update provider information in the RCM system. Monitor enrollment statuses and track changes in insurance plans and regulations. Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases. Should have excellent knowledge in Group Medicare and Medicaid Enrollment/Contracts along with commercial insurances. Job Requirement Bachelor's degree in any discipline. Minimum of 1 to 3 years of experience workin...

Greetings From Augment Technology Solutions! Credentialing Specialist -Voice process - Male Candidates (Night Shit) Role & responsibilities Enrolls providers (individually or in groups) with Medicare, Medicaid, and all major private insurance payers. Should have exposure in handling PECOS and NPPES systems - Strong knowledge in CAQH application and Facilitate provider re-attestations of CAQH data as required by CAQH. Verifies completeness and accuracy of application documents, coordinates with onshore team and payer support to obtain all necessary information. Promptly submits applications to ensure maximum reimbursement for all providers. Performs electronic funds transfer (EFT) and electro...

ABOUT PLUTUS HEALTH Plutus Health is a Dallas-headquartered healthcare revenue cycle management company serving providers across multiple specialties. With 1,600+ employees in the United States, India, and the Philippines, we deliver end-to-end RCM services including medical billing, credentialing, payer enrollment, and contracting. POSITION OVERVIEW The Director of Credentialing & Contracting will provide strategic and operational leadership for provider credentialing, re-credentialing, payer enrollment, and payer contract negotiation. This senior role requires deep expertise in healthcare credentialing and payer contracting, strong team leadership skills, and the ability to implement techn...

About Company: CrystalVoxx Ltd, a KPO providing end to end service in Revenue Cycle Management (RCM), Credentialing, Medical Coding, Medical Transcription, Virtual Assistance to doctors / providers in US Healthcare Industry. Location:- Ahmedabad Shift:- 6:30 PM to 3:30 AM Working Days:- Monday to Friday Roles & Responsibilities: Completes providers credentialing, re-credentialing applications; monitors applications, and follows-up as needed. Maintains knowledge of current health plan requirements for credentialing process. Tracks license and certification expirations for all providers to ensure timely renewals. Ensures practice addresses / Phone number / Fax Number are current with health pl...

Minimum 2-3 years of experience working in credentialing. Candidate must have knowledge in END to END provider credentialing Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid. Required Candidate profile Looking for immediate Joiners. Location: Ambattur, Chennai. Contact: Rebecca HR- 9500201343 (or) Walk-in: Monday-Friday between 3.30pm-6.30pm.

Handle provider credentialing and payer enrollment. Update data in CAQH, PECOS, and Availity. Verify documents and ensure compliance. Communicate with payers and providers. Prepare reports for audits Required Candidate profile 2–3 years of experience in healthcare credentialing. Knowledge of portals like CAQH, PECOS, Availity. Good communication and attention to detail.

Minimum 1-3 years of experience working in credentialing. Candidate must have knowledge in END to END provider credentialing Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid. Required Candidate profile Looking for immediate Joiners. Location: Ambattur, Chennai. Contact: Rebecca HR- 9500201343 (or) Walk-in: Monday-Friday between 3.30pm-6.30pm.

Job Title: Credentialing Specialist (Provider Enrollment)- Credentials. Skills : Credentialing, Insurance Eligibility, Enrollment Location : Pune ( Baner ) Education: Graduate. Experience: 2-5 Years Cab Facility : Both sides cab Profile Overview: • Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases. • Keep track of expiration dates for state DEA licenses, board certifications, and malpractice insurance for individual providers. Key Responsibilities : • Maintain individual provider files with up-to-date information for governmental and commercial payer credentialing applications. • Track contracted Managed Care Organizations, commercial payers, CMS Medicare, Medicaid...

Medical Provider Enrollment Specialist (Permanent Work-From-Home) About the Role: We are seeking experienced Medical Provider Enrollment Specialists with a strong background in end-to-end Provider Enrollments, Insurance Credentialing, Provider Contracting, and ReCredentialing. This role is ideal for professionals who thrive in a remote work environment and are committed to maintaining clear communication with our credentialing team and clients. Attention to detail and the ability to flawlessly complete tasks within set deadlines are essential for this position. Key Responsibilities: Manage the full spectrum of provider credentialing and enrollment, including filing Letters of Interest and co...

Medical Billing (RCM) Team Lead Location: Thaltej, Ahmedabad Experience: 4 to 7 years in U.S. Healthcare RCM (with team handling experience) Employment Type: Full-time | Work From Office About the company: Account Prism, founded in 2013, is a women-owned business transformation firm with a team of seasoned professionals who have 15+ years of experience across various domains in the US. Our service line includes Accounting, Tax, RCM and technology services. About the Role We are hiring an experienced RCM Team Lead who can oversee end-to-end revenue cycle management processes, mentor a team, and drive performance to achieve billing and collection targets. The role requires expertise in AR, den...

We are looking for experienced Credentialing & Enrollment Specialists who have experience in the end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. About the Role Specialists applying for this role must be extremely comfortable working remotely and be willing to make extra efforts to communicate/engage with our credentialing team and clients as well as be able to ensure client work packages are completed flawlessly. This position requires complex levels of organizational skills and the ability to complete assigned tasks within the allotted time to do so. Responsibilities Minimum of 2 years experience in provider credentialing and ...

The role involves managing the full-cycle credentialing and re-credentialing process for healthcare providers. This includes verifying and maintaining provider documentation, licenses, certifications, and affiliations. Coordination with insurance companies, hospitals, and healthcare organizations for provider enrollment is crucial. Compliance with NCQA, CMS, and other regulatory requirements must be ensured. It is essential to maintain accurate and up-to-date records in credentialing databases. Effective communication with providers regarding application status, missing information, or required updates is necessary. Additionally, supporting audits, reporting, and quality improvement initiati...

Responsibilities: * Verify patient eligibility & enrollment * Manage credentialing process from start to finish * Ensure accurate Medicaid verification & billing compliance Health insurance

Summary Green Apples is looking for driven, dedicated and experienced Credentialing & Enrolment professionals, proficient in US healthcare, who are comfortable working in evening shift starting at 4pm IST. Noida based Company, currently working from home. Local candidates from Delhi-NCR only need to apply. Description Hiring multiple candidates with 1 year and more, hands-on working experience in Credentialling Candidates with minimum of 1 year experience in Credentialling & enrolment alone only need to apply. Should have knowledge base of end-to-end provider US healthcare credentialing. Should be able to work independently with minimum or no supervision. Should have experience in credential...