75 Provider Enrollment Jobs - Page 3

Job Description About Us Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great ...

You will be responsible for managing end-to-end provider enrollment and re-credentialing processes with insurance networks, hospitals, and healthcare facilities. This includes reviewing provider documentation for accuracy, completeness, and compliance before submission and ensuring timely completion of credentialing tasks. Additionally, you will train, mentor, and evaluate team members to maintain quality standards and achieve productivity goals. Your role will also involve generating and analyzing reports on credentialing status, performance metrics, and compliance indicators. Collaborating with internal departments, clients, and third-party entities to optimize credentialing workflows will...

PDA E-Services Pvt Ltd is a dynamic and fast-growing Global Capability Centre (GCC) for Piccadilly Dental Alliance (PDA), a leading dental healthcare organization based in the United States. Established in 2022, we offer comprehensive operational and administrative support to dental practices across the U.S., helping them deliver outstanding patient care. As PDAs exclusive India-based outsourcing partner, we are expanding rapidly with a strong focus on process excellence, quality service, and people development. As a Credentialing Executive at PDA E-Services Pvt Ltd, you will play a critical role in managing the credentialing and enrollment processes for dental care providers in the U.S. You...

Huge HIRING Experienced Provider Enrollment of US Healthcare Openings at Advantum Health, Hitech City, Hyderabad. Desired profile Must have minimum 9 years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing Must have experience in getting providers setup with Insurance payers 3 plus Years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. Should have experience in handling team of 25 to 100 employees Knowledge of provider credentialing and its direct impact on the practices revenue cycle. Should be willing to work in US Shift. (5:30 PM t...

Huge HIRING Experienced Provider Enrollment QA of US Healthcare Openings at Advantum Health, Hitech City, Hyderabad. Desired profile Must have minimum 5 years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing Must have experience in getting providers setup with Insurance payers Must have one year experience as QA 3 - 5 Years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. Knowledge of provider credentialing and its direct impact on the practices revenue cycle. Should be willing to work in US Shift. (5:30 PM to 2:30 AM). Good typing s...

Huge HIRING Experienced Provider Enrollment of US Healthcare Openings at Advantum Health, Hitech City, Hyderabad. Desired profile Must have minimum 2 years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing Must have experience in getting providers setup with Insurance payers 2 - 5 Years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. Knowledge of provider credentialing and its direct impact on the practices revenue cycle. Should be willing to work in US Shift. (5:30 PM to 2:30 AM). Good typing skills with a speed of min 30-35 words /...

HIRING US Healthcare Medical Records Openings for experienced in any US Healthcare Process at Advantum Health, Hitech City, Hyderabad. Should have experience of atleast 2 years in any US Healthcare Voice process. Salary upto 50k Per Month based on experience. One way cab + Rs. 2000 Transportation allowance is provided. For 2 way, Rs. 4000 is the Transport allowance Job Description Assigned Facilities : The Medical Records Specialist has a set of facilities to manage. Bi-Weekly Work Schedule : The Medical Records Specialist needs to work on these facilities every two weeks. Facility Touchpoints : Each facility needs to be visited or worked on every 10 days to ensure the necessary documents (t...

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

Greetings from e-care India !!! We are looking for Executive/Senior Executive - Credentialing from 1+ Years of Experience Job Essential: Good oral & written communication skills Minimum 1 year of Experience in Credentialing Application. Should have Experience in Federal Applications (Medicare , Medicaid , Tricare). Exposure in commercial applications will be an added advantage Should have Exposure in Multiple states in US & Exposure in Florida will be an advantage Work from office only. Interested and suitable candidates can share the resume to career@ecareindia.com along with current take home, Expected Take home and Notice period. we will reach the suitable candidates for the interview sch...

Cognizant Walk-In Drive for Provider Enrollment (US Healthcare) at Coimbatore location. Interview Date - 21st June 2025 (Saturday) Interview Time - 9:00 AM - 12:00 PM Venue - Food Court, 2 nd floor , Chill SEZ, Keeranatham Village, CHIL SEZ Road, Saravanampatti, Coimbatore - 641035 Skill - Provider Enrollment (RCM - US Healthcare) Experience - 1 Year to 6 Years Mode - Work from Home Notice - Immediate to 30 days preferred Desired Profile: Candidates with 12+ months of experience in Provider Enrollment (US Healthcare) only Graduation is mandatory Should be willing to work in Night Shifts (US Shifts) It is a WFH opportunity Things to carry: Updated resume (Hard Copy & Soft Copy) Any 1 Govt ID ...

HIRING Experienced Provider Enrollment of US Healthcare Openings at Advantum Health, Hitech City, Hyderabad. Desired profile: Must have minimum 2 years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing Must have experience in preparing privileges or enrollment applications 2 - 4 Years of experience in end-to-end process of Provider Enrollments/ Insurance Credentialing, Provider Contracting, and Re-Credentialing. Knowledge of provider credentialing and its direct impact on the practices revenue cycle. Should be willing to work in US Shift. (6:30 PM to 3:30 AM). Excellent customer service skills; communicates clearl...

Hiring for Enrollment ( Us Healthcare ) Process : Non voice Location - Coimbatore / Chennai Timings - US Night shift ( 5:30pm to 3:30 am ) Mode - Work From Home Notice Period - Immediate to 15 Days SPE - Upto 5 Lpa SME - Upto 6.4 Lpa SPE 2+yr exp in Enrollment ( Us Healthcare ) SME 4+yr exp in Enrollment ( Us Healthcare ) Interested Candidates contact HR Dinesh@ 9353611283 dinesh@careerguideline.com

Role & responsibilities Getting providers/physicians enrolled and contracted with payers. Maintenance and recredentialing requirements of the providers. Tracking and updating credentialing related information. Sharing updates with clients & management for all credentialing updates Preferred candidate profile Minimum 2- years experience is required in Medical Billing and/or Account Receivables for US Healthcare mandatory. Should have worked as a credentialing analyst for at least 1 year of medical billing service providers. Should have end to end provider US healthcare credentialing. Should have experience in CMS 855I, 855R. Tracks expiration dates and maintains current state licenses, DEA ce...

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...

Greetings from e-care India !!! We are looking for Executive - Credentialing from 1+ Years of Experience Job Essential: Good oral & written communication skills Minimum 1 year of Experience in Credentialing Application Should have Exposure in Multiple states in US & Exposure in Florida will be an advantage Work from office & Day shift resources can apply for the Job . Interested and suitable candidates can share the resume to career@ecareindia.com along with current take home, Expected Take home and Notice period . Regards Aparajitha Rangarajan

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

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

Creating credentialing application Submitting applications with payor Gathering Payor guidelines for credentialing Follow up with payor for provider and payor for credentialing status Creating recredentialing applications EDI enrollments

Role: Credentialing Specialist You should have experience in provider enrollment/credentialing. Good understanding and working experience of the End-to-End Claim Resolution model. 2+ years experience in US Healthcare Revenue Cycle Management. Required Candidate profile Continual development to be an expert with knowledge of respective clients Credentialing specialties Attending meetings to enhance Credentialing knowledge Call /Whatsapp 9989051577 manijob7@gmail.com

Role & responsibilities Should have experience in Credentialing process in Medical Billing - Min of 1 year to Max 6 years. Credentialing in medical billing is the process that all healthcare service providers perform to become enlisted with insurance companies . Only trusted, vetted, and verified insurance companies include healthcare providers to serve their customers. Candidate who has good / trainable communication. Preferred candidate profile Should be flexible to work in US shift & Work from office Flexible to extend support on weekend based on requirement Should have experience in Credentialing Fluent verbal communication abilities / call center expertise (Semi Voice process) Immediate...

Job Role: Credentialing Enrollment(Provider Side) Designation: Credentialing Specialist Qualification: Any UG & PG Degree/Diploma 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

Role & Responsibilities :- Claims Management : Follow up on outstanding claims to reduce the accounts receivable (AR) days and resolve claim issues in a timely manner. Denial Management : Handle denials by understanding the root cause, correcting errors, and re-submitting claims for processing. Communication : Effectively communicate with insurance companies, healthcare providers, and other stakeholders regarding claims status, denials, appeals, and payment discrepancies. Account Follow-up : Monitor and review AR aging reports to identify and prioritize unpaid claims for follow-up. Oversee credentialing processes, ensuring compliance with industry and regulatory standards. Collect, review, a...

Role & Responsibilities :- Claims Management : Follow up on outstanding claims to reduce the accounts receivable (AR) days and resolve claim issues in a timely manner. Denial Management : Handle denials by understanding the root cause, correcting errors, and re-submitting claims for processing. Communication : Effectively communicate with insurance companies, healthcare providers, and other stakeholders regarding claims status, denials, appeals, and payment discrepancies. Account Follow-up : Monitor and review AR aging reports to identify and prioritize unpaid claims for follow-up. Oversee credentialing processes, ensuring compliance with industry and regulatory standards. Collect, review, a...

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

Freshers with good communication skills