Finnastra
Website:
finnastra.com
Job details:
Dear All,
Greetings from Flatworld Healthcare Services Pvt Ltd.
🚀 WE ARE HIRING !!
👨💼 Job Title: Credentialing & Provider Enrollment Specialist
🏢 Department: Revenue Cycle Management (RCM)
💼 Experience Required: 2 to 5 Years
📍 Location: Bangalore
🕒 Employment Type: Full-time
📩 Interested candidates can share their CVs at pavan.v@finnastra.com or contact 9035473861 (Available between 1 PM - 10 PM).
🔹 Job Summary:
We are seeking a detail-oriented and proactive Credentialing & Provider Enrollment Specialist with 2 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, enrollment with insurance payers, and contract negotiation activities while 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 expirable (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
- Handle payer contract negotiations, follow-ups, and agreement coordination
🔹 Qualifications:
- 2 to 5 years of hands-on experience in provider credentialing and enrollment
- Experience in contract negotiation with insurance payers is preferred
- 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!
Click on Apply to know more.