
Credentialing Specialist
7 days ago
Dear All,
Greetings from Flatworld Healthcare Services.
WE ARE HIRING
Job Title: Credentialing & Provider Enrollment Specialist
Department: Revenue Cycle Management (RCM)
Experience Required: 1 to 5 Years
Location: Bangalore
Employment Type: Full-time
Interested candidates can share their CVs at or contact Available between 1 PM - 10 PM).
Job Summary:
We are seeking a detail-oriented and proactive Credentialing & Provider Enrollment Specialist with 1 to 5 years of experience in the healthcare RCM domain. The ideal candidate will be responsible for managing end-to-end provider credentialing, re-credentialing, and enrollment with insurance payers, ensuring compliance with regulatory standards and timelines.
Key Responsibilities:
- Complete initial and re-credentialing applications for healthcare providers.
- Submit and track enrollment applications with Medicare, Medicaid, and commercial payers.
- Maintain and update provider information in internal databases and payer portals.
- Monitor expirables (licenses, certifications, etc.) and ensure timely renewals.
- Communicate with providers, payers, and internal teams to resolve enrollment issues.
- Ensure compliance with payer-specific and regulatory credentialing requirements.
- Follow up with insurance companies to check application status and resolve delays.
- Assist in audits and provide necessary documentation as required.
Qualifications:
- 1 to 5 years of hands-on experience in provider credentialing and enrollment.
- Knowledge of payer requirements and CAQH, PECOS, NPPES, etc.
- Strong communication, organizational, and follow-up skills.
- Proficient in MS Office and credentialing software/tools.
Preferred Skills:
- Experience working with U.S. healthcare providers.
- Familiarity with medical billing and insurance guidelines.
- Ability to manage multiple priorities in a deadline-driven environment.
Perks & Benefits:
- 5 Days Working
- Provident Fund & Gratuity
- Medical Insurance
- Travel Allowance
Fresher and non-relevant experience applicants, please ignore
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