EqualizeRCM
Website:
equalizercm.com
Job details:
Company Description EqualizeRCM Services is a leading provider of Revenue Cycle Management solutions for physicians, hospitals, ambulatory surgery centers, labs, and other healthcare organizations across the United States. With a team of over 1,000 employees, the company focuses on improving clients’ financial performance through expert consulting, credentialing, medical coding, billing and collections, and denials management. Over more than 16 years in business, EqualizeRCM has built a strong track record of driving significant, positive impact on cash collections and revenue integrity. The organization is committed to supporting healthcare providers as they navigate ongoing changes in the healthcare industry, offering scalable services and career opportunities in a growing sector.
Role Description This is a full-time Credentialing Specialist role based in Mysore with a hybrid work arrangement, allowing some work from home. The Credentialing Specialist is responsible for managing provider enrollment and credentialing processes with payers, hospitals, and other healthcare entities. Day-to-day activities include collecting and verifying provider documentation, completing and submitting applications, tracking application status, and maintaining accurate credentialing records in internal systems. The role involves communicating with providers, practice managers, and payers to resolve issues, follow up on pending applications, and ensure timely approvals. The Credentialing Specialist also supports compliance with regulatory and payer requirements, adheres to internal quality standards, and contributes to process improvement initiatives.
Qualifications
- Strong administrative and documentation skills, including experience handling provider data, organizing records, and maintaining accurate credentialing files.
- Proficiency in healthcare payer and provider enrollment processes, with an understanding of credentialing standards, regulatory requirements, and revenue cycle impacts.
- Effective communication and collaboration skills, with the ability to interact professionally with providers, internal teams, and external stakeholders.
- Attention to detail and analytical abilities to verify information, identify discrepancies, and follow structured workflows and timelines.
- Comfort with using credentialing software, Microsoft Office tools, and other data management systems; ability to learn new platforms quickly.
- Prior experience in credentialing, provider enrollment, or revenue cycle management is preferred; experience in a healthcare or medical billing environment is an advantage.
- Ability to work in a hybrid setup from Mysore, manage time effectively, and meet productivity and quality targets.
- Minimum of a bachelor’s degree or equivalent education; relevant certifications in medical billing, coding, or credentialing are a plus.
Click on Apply to know more.