Credentialing & Provider Enrollment Specialist

Summary

Join our team as a Credentialing & Provider Enrollment Specialist! This role involves managing provider credentialing, enrollment processes, and regulatory compliance to ensure timely onboarding and reimbursement. You will work closely with healthcare providers, payers, and internal teams to minimize credentialing-related claim denials and maintain network participation. The ideal candidate will have 1-5 years of experience in healthcare credentialing, proficiency in CAQH, PECOS, and other credentialing platforms, and a strong understanding of Medicare, Medicaid, and commercial payer compliance. This is a remote position located in Gurugram, India, within the Revenue Cycle Management (RCM) department. The company values accuracy, compliance, and operational excellence. This position offers the opportunity to collaborate with key stakeholders in RCM.

Requirements

• Have 1-5 years of experience in healthcare credentialing
• Be proficient in CAQH, PECOS, and other credentialing platforms
• Have a strong understanding of Medicare, Medicaid, and commercial payer compliance

Responsibilities

• Manage provider credentialing, enrollment processes, and regulatory compliance to ensure timely onboarding and reimbursement
• Work closely with healthcare providers, payers, and internal teams to minimize credentialing-related claim denials and maintain network participation

Benefits

• Be part of a dynamic team ensuring compliance and efficiency in healthcare operations
• Work remotely with a company that values accuracy, compliance, and operational excellence
• Opportunity to collaborate with key stakeholders in Revenue Cycle Management (RCM)