19 Pecos 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...

Roles and Responsibilities Manage credentialing process from start to finish, ensuring timely and accurate processing of applications. Coordinate with healthcare providers to gather required documents and information for enrollment. Utilize CAQH system to submit applications and track progress. Ensure compliance with Medicare, Medicaid, PECOS, and US Healthcare regulations throughout the credentialing process. Collaborate with internal stakeholders to resolve any issues or discrepancies that may arise during credentialing.

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...

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 Company Website: https://www.modulemd.com Welcome to ModuleMD At ModuleMD, we specialize in cloud-based EHR and Practice Management solutions for specialty healthcare providers. Were on a mission to revolutionize revenue cycle management through AI, and we’re looking for innovators who are ready to help us shape the future. Our Culture & Values "We foster a culture of inclusivity, innovation, and integrity. Our team values collaboration, continuous improvement, and a passion for excellence." Pro...

WELLNITE is a fast-growing mental health platform committed to making high-quality care accessible to everyone. We are looking for a motivated, hardworking US Health Insurance Credentialing Manager who is confident on the phone, thrives in a fast-paced environment, and is passionate about helping patients access mental health services. About the Role We are seeking a highly organized, detail-oriented US Credentialing Manager to join our growing team in India. This role requires deep knowledge of the US healthcare credentialing process , the ability to lead and manage a credentialing team , and strong negotiation skillsespecially when working with insurance networks, payers, and providers. Th...

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...

Overview We're seeking a Provider/Payer Enrollment to manage the critical process of enrolling and credentialing healthcare providers with various insurance payers, including commercial, Medicare, and Medicaid plans. This role is essential for ensuring providers are able to bill for services and for maintaining a healthy revenue cycle. The ideal candidate will be highly organized and have a strong understanding of US healthcare regulations and credentialing processes. Responsibilities Enrollment and Credentialing: Prepare and submit provider enrollment applications, re-enrollments, and re-credentialing documents to commercial, Medicare, and Medicaid payers. Documentation Management: Maintain...

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.

Location: Dattagalli, 3rd Stage Mysore Shift: Night (U.S. Time Zone) Experience: 13 years in U.S. healthcare credentialing Role Description Looking for a detail-oriented Credentialing Specialist to handle provider enrollment and re-credentialing with Medicare, Medicaid, and commercial payers. Responsibilities include managing CAQH, NPPES, and payer portal updates, tracking application status, maintaining records, and coordinating with providers and payers for timely approvals. Requirements: 13 years of experience in provider credentialing. Knowledge of CAQH, PECOS, Availity, and payer portals. Strong communication and follow-up skills. Proficient in MS Office. Must be willing to work night s...

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...

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...

Min 4+ yr exp in credentialing package upto 7L grad/ug 24*7 shift 1 side cab Strong communication skills (verbal & written Both) Familiarity with CAQH, PECOS & insurance enrollment portals. DM- yashika.imaginator@gmail.com / 7289094130 Required Candidate profile * Strong understanding of the US healthcare credentialing process & payer requirements. * Ability to manage multiple tasks & meet deadlines in a fast-paced environment. * Proficient in MS Office

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...

Oversee complete credentialing lifecycle for healthcare providers, including initial credentialing, re-credentialing, and ongoing monitoring Compliance with accreditation bodies, government regulations, payer requirements, and organizational policies Required Candidate profile Exp in CAQH, PECOS Exp in Medicare, Medicaid, and Commercial insurance enrolment Maintain accurate records and databases of healthcare providers Good in filling insurance enrollment applications