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1.0 - 3.0 years
1 - 3 Lacs
chennai
Work from Office
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.
Posted 2 days ago
2.0 - 3.0 years
3 - 4 Lacs
chennai
Work from Office
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.
Posted 1 week ago
1.0 - 3.0 years
1 - 3 Lacs
chennai
Work from Office
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.
Posted 2 weeks ago
2.0 - 5.0 years
2 - 5 Lacs
pune
Work from Office
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...
Posted 2 weeks ago
5.0 - 7.0 years
0 Lacs
india
Remote
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...
Posted 1 month ago
3.0 - 7.0 years
4 - 9 Lacs
ahmedabad
Work from Office
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...
Posted 1 month ago
2.0 - 4.0 years
0 Lacs
hyderabad, telangana, india
Remote
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 ...
Posted 1 month ago
1.0 - 5.0 years
0 Lacs
chennai, tamil nadu
On-site
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...
Posted 2 months ago
3.0 - 4.0 years
4 - 4 Lacs
Noida
Work from Office
Responsibilities: * Verify patient eligibility & enrollment * Manage credentialing process from start to finish * Ensure accurate Medicaid verification & billing compliance Health insurance
Posted 3 months ago
1.0 - 6.0 years
6 - 12 Lacs
Noida
Hybrid
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...
Posted 5 months ago
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