Administrative Specialist for Healthcare Payer Enrollment

2 weeks ago

Mumbai, Maharashtra, India beBeeCredentialing Full time ₹ 9,00,000 - ₹ 12,00,000

We are seeking an experienced Credentialing Specialist to manage the end-to-end credentialing and re-credentialing process for providers with Medicare, Medicaid, and major commercial insurance payers.

  • Submit and track provider enrollment applications, group contracts, and facility participation agreements with federal and private payers.
  • Communicate effectively with providers, practice managers, billing teams, and payers to resolve enrollment issues and delays.
  • Keep internal systems updated with current credentialing status and documentation for audits and claims submission readiness.
  • Identify and coordinate any risk management, substance abuse and/or malpractice issues. Maintains strict confidentiality of all records, data and occurrences as condition of initial and/or continued employment.

The ideal candidate will have 2–4 years of payer credentialing experience in an RCM, MSO, or medical group setting.

  • Comprehensive understanding of federal payer systems (Medicare/PECOS, Medicaid) and major commercial payers.
  • Experience managing multi-state enrollments and working with provider rosters.
  • Exceptional communication and telephone skills required, as well as a great deal of patience and understanding.
  • Experience working with physicians and/or senior executives preferred.
  • Demonstrate the ability to prioritize heavy workload and work independently with minimal supervision.
  • Proficient computer and internet skills; familiarity with Microsoft Office software required.
  • Knowledge of medical terminology preferred.
  • Shift - US Shift (6:30PM - 3:30AM)

This is an exciting opportunity to join our team and contribute to our mission to provide innovative solutions for healthcare facilities.

  • Benefits:
  • We offer competitive compensation and benefits packages.
  • A supportive and collaborative work environment.
  • Ongoing training and development opportunities.

We are committed to equal opportunity in the terms and conditions of employment for all employees and job applicants without regard to race, color, religion, sex, sexual orientation, age, gender identity or gender expression, national origin, disability, or veteran status.

  • Enrollment Specialist

    2 weeks ago

    Mumbai, Maharashtra, India Harris Computer Full time

    Responsibilities EDI ERA Enrollment Prepare and submit applications to configure EDI claims and ERA through clearinghouses and payer portals Ensure providers are enrolled for electronic claim submission Handle enrollment re-enrollment and re-validation processes for providers and locations Data Management Process data entry and file...

  • Enrollment Specialist

    2 weeks ago

    Mumbai, Maharashtra, India Harris Computer Full time ₹ 6,00,000 - ₹ 8,00,000 per year

    Responsibilities- EDI/ERA Enrollment:- Prepare and submit applications to configure EDI claims and ERA through clearinghouses and payer portals.- Ensure providers are enrolled for electronic claim submission.- Handle enrollment, re-enrollment, and re-validation processes for providers and locations.- Data Management:Process, data entry, and file maintenance...

  • Healthcare Payer Solutioning Lead

    4 weeks ago

    Mumbai, Maharashtra, India Coforge Full time

    Role: Healthcare Payer Presales & Solutioning Lead Location: Mumbai/Gr. Noida/BangaloreJD:Healthcare Payer Presales & Solutioning Lead responsible for driving presales & solutioning activities for the health insurance (payer) segment of the organization's healthcare & life sciences business unit.Exp:Strong experience in a domain consulting / solutioning role...

  • Healthcare Credentialing Professional

    2 weeks ago

    Mumbai, Maharashtra, India beBeeCredentialing Full time ₹ 12,00,000 - ₹ 15,00,000

    Job Title:Credentialing SpecialistAbout the Role:We are seeking a detail-oriented Credentialing Specialist to excel in provider enrollment and credentialing. The ideal candidate will possess a strong background in provider enrollment and a comprehensive understanding of the credentialing process.Key Responsibilities:Provider Enrollment & Application...

  • Urgent Search) Enrollment Specialist

    2 weeks ago

    Mumbai, Maharashtra, India Harris Global Business Services (GBS) Full time

    Job DescriptionResponsibilities- EDI/ERA Enrollment:- Prepare and submit applications to configure EDI claims and ERA through clearinghouses and payer portals.- Ensure providers are enrolled for electronic claim submission.- Handle enrollment, re-enrollment, and re-validation processes for providers and locations.- Data Management:- Process, data entry, and...

  • Enrollment Expert

    2 weeks ago

    Mumbai, Maharashtra, India beBeeEnrollment Full time ₹ 9,00,000 - ₹ 12,00,000

    Job Title: Enrollment ExpertWe are seeking a skilled Enrollment Expert to join our team. In this role, you will play a crucial part in ensuring seamless enrollment processes for providers and locations.Key Responsibilities:EDI ERA Enrollment: Prepare and submit applications to configure EDI claims and ERA through clearinghouses and payer portals.Provider...

  • Customer Enrolment Specialist

    6 days ago

    Mumbai, Maharashtra, India beBeeCommunication Full time ₹ 3,00,000 - ₹ 4,50,000

    Job OverviewPurpose: To deliver and support health payer member enrolment, premium billing and payment application, provider demographic data updates and core medical claim processing.Key Responsibilities:Deliver and support health payer member enrolment, premium billing and payment application, provider demographic data updates and core medical claim...

  • Conflicts Specialist, Risk Management

    2 weeks ago

    Mumbai, Maharashtra, India PracticeSuite, Inc. Full time

    PracticeSuite, Inc. is an innovative platform to enable medical practices and other healthcare facilities to create an amazing patient experience. We are looking for an individual seeking a career opportunity with one of the fast-growing cloud computing software company in the country. We are looking for a Credentialing Specialist, this position will perform...

  • Strategic Electronic Claims Manager

    2 weeks ago

    Mumbai, Maharashtra, India beBeeEnrollment Full time ₹ 8,00,000 - ₹ 12,00,000

    Job DescriptionThe Enrollment Specialist plays a pivotal role in ensuring seamless electronic claim submission for healthcare providers.Key Responsibilities:Electronic Claims Management: Prepare and submit applications to configure EDI claims and ERA through clearinghouses and payer portals.Data Processing: Manage data entry, file maintenance of enrollment,...

  • Credentialing Specialist

    3 weeks ago

    Mumbai, Maharashtra, India PracticeSuite, Inc. Full time

    Overview:PracticeSuite, Inc. is an innovative platform to enable medical practices and other healthcare facilities to create an amazing patient experience. As a single platform, PracticeSuite has diverse features to modernize practices and take them to the next level.PracticeSuite is currently in search of our newest Team Member who is passionate about...