Credentialing Specialist

6 days ago

Bengaluru, Karnataka, India Total RCM Solutions Full time ₹ 40,00,000 - ₹ 80,00,000 per year

Company Overview

Total RCM Solutions is a leading revenue cycle management company serving healthcare providers across the USA. With over 100+ years of combined expertise, the company offers comprehensive end-to-end RCM services and specialized solutions, including appeal management and patient services. Headquartered in Bangalore, Total RCM Solutions is committed to optimizing healthcare practices through efficient processes and best practices recommendations. Visit our website for more information.

Job Overview

We are seeking a dedicated Credentialing Specialist to join our team in Bengaluru on a full-time basis. The specialist will be responsible for managing and optimizing the credentialing and re-credentialing process for healthcare providers within our network. This role requires a detailed-oriented individual with a background in medical billing and a strong understanding of healthcare regulations and compliance standards.

Qualifications and Skills

  • Proven experience in credentialing and re-credentialing processes within the healthcare industry.
  • Thorough knowledge of healthcare regulations, compliance standards, and payor requirements.
  • Excellent communication skills, both verbal and written, with the ability to interact with various stakeholders.
  • Strong organizational skills and attention to detail for managing credentialing documents and timelines.
  • Ability to handle sensitive information with confidentiality and professionalism.
  • Proficient in using healthcare management systems and technology solutions for credentialing tasks.
  • Adaptability and problem-solving skills to address complex credentialing issues promptly.
  • Must have a customer-oriented approach to ensure seamless interactions with healthcare providers.

Roles and Responsibilities

  • Manage and maintain the credentialing files for all healthcare providers within the network.
  • Ensure timely re-credentialing by monitoring expirations and keeping track of necessary renewals.
  • Coordinate with healthcare providers to obtain all required documentation for credentialing purposes.
  • Review and verify professional eligibility, certifications, and licenses according to industry standards.
  • Communicate with payors and other entities to facilitate successful enrollment and network participation.
  • Keep informed about changes in credentialing regulations to ensure compliance and efficiency.
  • Provide support to healthcare providers by resolving credentialing inquiries and issues effectively.
  • Contribute to the ongoing development and improvement of credentialing processes and systems.

  • Credentialing Specialist

    1 week ago

    Bengaluru, Karnataka, India Flatworld Healthcare Services Private Limited Full time ₹ 14,40,000 - ₹ 18,00,000 per year

    Dear All,Greetings from Flatworld Healthcare Services.WE ARE HIRING Job Title: Credentialing & Provider Enrollment SpecialistDepartment: Revenue Cycle Management (RCM)Experience Required: 1 to 5 YearsLocation: BangaloreEmployment Type: Full-timeInterested candidates can share their CVs at or contact Available between 1 PM - 10 PM).Job Summary:We are seeking...

  • Insurance Credentialing Specialist

    5 hours ago

    Bengaluru, Karnataka, India Total RCM Solutions Full time ₹ 4,00,000 - ₹ 12,00,000 per year

    Company OverviewTotal RCM Solutions is a leading revenue cycle management company serving healthcare providers in the US. With a focus on tailored processes, robust expertise, and comprehensive support services, we deliver innovative medical billing and back-office solutions, backed by a team with over 100 years of industry experience. Learn more at Job...

  • Credentialing/Provider Enrollment Specialist

    4 days ago

    Bengaluru, Karnataka, India Finnastra Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    Company DescriptionFounded in 2010 and headquartered in Bengaluru, Finnastra is a technology-driven B2B solutions provider specializing in Revenue Cycle Management (RCM), Credentialing, Corporate Finance, and PM & EHR Software. We empower healthcare providers, payers, and credentialing organizations to optimize financial performance and streamline operations...

  • Insurance Credentialing Specialist

    6 days ago

    Bengaluru, Karnataka, India Total RCM Solutions Full time US$ 40,000 - US$ 80,000 per year

    Company OverviewTotal RCM Solutions is a premier revenue cycle management firm assisting healthcare providers across the USA. Established in 2018, our team collectively boasts over 100 years of expertise, offering tailored services that optimize practice operations. From comprehensive revenue cycle management to individualized solutions, we ensure adherence...

  • Credentialing Specialist

    6 days ago

    Bengaluru, Karnataka, India Omega Healthcare Full time

    Role & responsibilitiesKey Responsibilities:Prepare, review, and submit credentialing and re-credentialing applications for healthcare providers.Coordinate with insurance companies, medical groups, and clients to ensure timely enrollment.Maintain credentialing databases and track the status of applications.Communicate with clients and providers to resolve...

  • Credentialing Specialist

    2 weeks ago

    Bengaluru, Karnataka, India GetixHealth Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    Job DetailsDescriptionContinual development to be an expert with knowledge of respective clients Credentialing specialties.Report any system downtime to respective Supervisors and manage the work in such situations.persuasively; provides clarification; responds well to questions; participates in and contributes to meetings.Follows policies and procedures;...

  • Director of Credentialing

    4 hours ago

    Bengaluru, Karnataka, India Plutus Health Inc. Full time ₹ 35,00,000 - ₹ 45,00,000 per year

    ABOUT PLUTUS HEALTHPlutus 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 OVERVIEWThe...

  • Talent Acquisition Specialist

    2 weeks ago

    Bengaluru, Karnataka, India trippr Full time ₹ 5,00,000 - ₹ 15,00,000 per year

    We at Trippr are  always looking to strengthen the organization by adding the best available people to our staff. We're seeking a talent acquisition specialist to help us source, identify, screen, and hire candidates for various roles in the company. The ideal candidate will have excellent communication and organizational skills, two or three years of...

  • PMO Specialist

    2 weeks ago

    Bengaluru, Karnataka, India nClouds Full time ₹ 12,00,000 - ₹ 36,00,000 per year

    About the Company nClouds is a credentialed, award-winning provider of DevOps and professional cloud services, products, and solutions specializing in modern infrastructures on AWS. We work as an extension of our clients and love tackling their stickiest challenges. All so our clients can deliver innovation faster and create excellent customer...

  • Privacy Compliance Program Specialist

    2 weeks ago

    Bengaluru, Karnataka, India 3M Full time ₹ 20,00,000 - ₹ 25,00,000 per year

    3M has a long-standing reputation as a company committed to innovation. We provide the freedom to explore and encourage curiosity and creativity. We gain new insight from diverse thinking, and take risks on new ideas. Here, you can apply your talent in bold ways that matter.Job Description:Privacy Compliance Program Specialist The Impact You'll Make in this...