74 Provider Enrollment Jobs

Job Title: Quality - Credentialing Department: Credentialing / US Healthcare Operations Location: Pune Job Summary: As a Quality - Credentialing , you will be responsible for ensuring the accuracy, completeness, and compliance of credentialing processes for US healthcare professionals. Your role will focus on auditing credentialing files, validating documentation, and ensuring adherence to regulatory standards. You will work closely with credentialing associates to identify gaps, provide feedback, and support continuous improvement in credentialing quality and compliance. Key Responsibilities: Audit credentialing files and documentation to ensure accuracy and completeness. Validate provider ...

Continual development to be an expert with knowledge of respective clients Credentialing specialties. Exp:1-7Years Location: Bangalore @ Noida Shift : Night Required Candidate profile 1+ years experience in provider enrollment/credentialing / Voice Process. Skill Set: EFP, EDI, ERA preferred Immediate joiners preferred Call or Whatsapp 9989051577 Email: manijob7@gmail.com

In this role, you will be responsible for managing credentialing for healthcare providers to ensure accurate and timely processing. Your key responsibilities will include: - Verifying provider credentials, licenses, and certifications for compliance. - Coordinating with insurance companies to enroll providers and resolve any enrollment issues. - Maintaining and updating provider information in the RCM system. - Monitoring enrollment statuses and tracking changes in insurance plans and regulations. - Maintaining accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases. Additionally, you should have excellent knowledge in Group Medicare and Medicaid Enrollment/Contracts along with c...

Essential Duties and Responsibilities: CAQH set-up and CAQH re-attestations. Facilitation of state licensing, DEA registration. Completion & Submission of provider enrollment applications. Follow-up and check status of applications with payors. Complete appropriate steps for updating and maintaining Provider Enrollment Databases and to ensure claims processed timely and accurately. Manage delegated contracts, monthly roster submission, review, and data entry. Maintain charge and fee schedule updates. Analyze provider contract linkage. Also responsible for EDI&EFT set up between billing software and insurance company. Required Skills and Qualifications: Graduate in any discipline. Excellent w...

Position General Duties: Associate will process and update Provider Data Management and Provider Data Enrollment Resources to the Client's main application according to its policies and procedures defined. Role Responsibilities: . In-depth knowledge and experience in the US healthcare (Non Voice) - Provider Data Validation and Provider Data management. . Candidate should have 5 years and above experience in US healthcare and into provider enrollment and credentialling. . Ability to train the team on new process and process updates. . Calibrate with QA's to ensure process knowledge and variance are managed and under control. . Ability to create Process SOP, Process Map and identifying the out...

Position : Credentialing Specialist Exp:1-5Years Location: Coimbatore/Mysuru (WFH/WFO/Hybrid) Immediate joiners are preferred Shift : Night Required Candidate profile 1 y – 4 y of Relevant Experience (Provider Credentialing) Experience in CAQH, Application review, Provider registration are required (Mandatory) Call or Whatsapp 9989051577 Email: manijob7@gmail.com

Position General Duties: Associate will process and update Provider Data Management and Provider Data Enrollment Resources to the Client's main application according to its policies and procedures defined. Role Responsibilities: In-depth knowledge and experience in the US healthcare (Non Voice) Provider Data Validation and Provider Data management. Candidate should have 5 years and above experience in US healthcare and into provider enrollment and credentialling. Ability to train the team on new process and process updates. Calibrate with QA's to ensure process knowledge and variance are managed and under control. Ability to create Process SOP, Process Map and identifying the outlier within ...

Position General Duties: Associate will process and update Provider Data Management and Provider Data Enrollment Resources to the Client's main application according to its policies and procedures defined. Role Responsibilities: . In-depth knowledge and experience in the US healthcare (Non Voice) - Provider Data Validation and Provider Data management. . Candidate should have 5 years and above experience in US healthcare and into provider enrollment and credentialling. . Ability to train the team on new process and process updates. . Calibrate with QA's to ensure process knowledge and variance are managed and under control. . Ability to create Process SOP, Process Map and identifying the out...

Designation ;Credentialing specialties - 3 Team Lead - 2 Exp:1-8Years Location: Coimbatore/Mysuru (WFH/WFO/Hybrid Relevant Experience (Provider Credentialing) Required Candidate profile Experience in CAQH, Application review, Provider registration are required (Mandatory) Walk in drive on 25th Oct at 10 am at Coimbatore Call or Whatsapp 9989051577 Email: manijob7@gmail.com

Position : Credentialing Specialist Exp:1-5Years Location: Coimbatore/Mysuru (WFH/WFO/Hybrid) Immediate joiners are preferred Shift : Night Required Candidate profile 1 y – 4 y of Relevant Experience (Provider Credentialing) Experience in CAQH, Application review, Provider registration are required (Mandatory) Call or Whatsapp 9989051577 Email: manijob7@gmail.com

Excellent communication skills. Should have worked as a Credentialing Analyst, medical billing service providers. Good Knowledge in Provider credentialing. Good knowledge in clearing house setup. Electronic Data Interchange setup (EDI). Electronic Remittance Advice Setup (ERA). Establish Insurance Portals (EFT). Experience in Insurance calling. Good knowledge in filling insurance enrollment applications. Good experience in CAQH, PECOS application. Experience in Medicare, Medicaid, Commercial insurance enrollment. Positive attitude to solve problems. Knowledge of generating aging report. Preferred immediate joiners. Flexible with shift timings.

1 year – 4 years of Relevant Experience (Provider Credentialing) Location: Coimbatore/Mysuru (WFH/WFO/Hybrid) Experience in CAQH, Application review, Provider registration are required Immediate joiners are preferred Required Candidate profile 1+ years experience in provider enrollment/credentialing / Voice Process. Skill Set: EFP, EDI, ERA preferred Immediate joiners preferred Call or Whatsapp 9989051577 Email: manijob7@gmail.com

Mega Walk-In Drive for Experienced Credentialing Specialists on 25 Oct'2025 @EqualizeRCM ,Coimbatore Roles and Responsibilities 1 year 4 years of Relevant Experience (Provider Credentialing) Ability to check providers current enrollment status, obtain Procedure to get a provider enrolled and complete Applications/Request as required by the insurance companies. Should have experience in completing Applications/Request/CAQH with required accuracy. Should have experience in Calling/Sending Emails/Sending Fax to payor for Credentialing Status of a Provider. Meet compliance requirements like HIPAA etc. Meet QMS and ISMS requirements. Meet productivity and Quality Standards. Experience in CAQH, Ap...

Continual development to be an expert with knowledge of respective clients Credentialing specialties. Exp:1-7Years Location: Bangalore @ Noida Shift : Night Required Candidate profile 1+ years experience in provider enrollment/credentialing / Voice Process. Skill Set: EFP, EDI, ERA preferred Immediate joiners preferred Call or Whatsapp 9989051577 Email: manijob7@gmail.com

* Manage credentialing process for healthcare providers, ensuring timely and accurate processing of applications. * Coordinate with insurance companies for discrepancies in provider enrollment. - Salary upto Rs. 50000 - What's app CV @ 85273,67908 Perks and benefits Incentive

Freshers with good communication skills

Looking for minimum 1 year experince in Provider Credentialing or Provider Enrollment in Voice process Should be aware about CAQH / EFT / ERA or EDA Looking for immediate Joiners , virtual Interview available Contact 8977711182

* Manage credentialing process for healthcare providers, ensuring timely and accurate processing of applications. * Coordinate with insurance companies for any discrepancies in provider enrollment. - Salary Negotiable - What's app CV @ 85273,67908 Perks and benefits Incentive

Continual development to be an expert with knowledge of respective clients Credentialing specialties. Exp:1-7Years Location: Bangalore @ Noida Shift : Night Required Candidate profile 1+ years experience in provider enrollment/credentialing / Voice Process. Skill Set: EFP, EDI, ERA preferred Immediate joiners preferred Call or Whatsapp 9989051577 Email: manijob7@gmail.com

* Manage credentialing process for healthcare providers, ensuring timely and accurate processing of applications. * Coordinate with insurance companies for any discrepancies in provider enrollment. - Salary Negotiable - What's app CV @ 85273,67908 Perks and benefits Incentive

Create the future of e-health together with us by becoming a Senior Associate - Credentialing At CompuGroup Medical, our mission is to build groundbreaking solutions for digital healthcare. We aim to revolutionize how healthcare professionals produce, access, and utilize information, enabling them to focus on the core value of their work: patient outcomes. As one of the Best in KLAS organizations in the industry, we offer a full scope of Electronic Health Records (EHR), Billing, Payment services, and Revenue Cycle Management (RCM) services. We provide our team members with the training and solutions to grow across various technologies and processes. What You Can Expect From Us High Performin...

Continual development to be an expert with knowledge of respective clients Credentialing specialties. Exp:1-7Years Location: Bangalore @ Noida Shift : Night Required Candidate profile 1+ years experience in provider enrollment/credentialing / Voice Process. Skill Set: EFP, EDI, ERA preferred Immediate joiners preferred Call or Whatsapp 9989051577 Email: manijob7@gmail.com

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...

* Manage credentialing process for healthcare providers, ensuring timely and accurate processing of applications. * Coordinate with insurance companies for any discrepancies in provider enrollment. - Salary Negotiable - What's app CV @ 85273,67908 Perks and benefits Incentive

Continual development to be an expert with knowledge of respective clients Credentialing specialties. Exp:1-7Years Location: Bangalore @ Noida Shift : Night Required Candidate profile 1+ years experience in provider enrollment/credentialing / Voice Process. Skill Set: EFP, EDI, ERA preferred Immediate joiners preferred Call or Whatsapp 9989051577 Email: manijob7@gmail.com