Senior Process Executive (Credential Enrollment)

SPE - Voice:

Senior Credentialing/Enrolment Associate

Qualification:

• Graduate in any discipline; Life Sciences, Healthcare Administration, or related field preferred.
• 2-5 years of experience in US Healthcare Revenue Cycle Management (RCM) with a focus on Provider Credentialing and Enrollment.

Roles and Responsibilities:

• Hands-on experience with CAQH profile management, provider enrollment, recredentialing, and payer enrollment processes.
• Strong knowledge of provider enrollment requirements for Medicare, Medicaid, BCBS, UHC, Aetna, Cigna, Humana, Tricare, and other commercial payers.
• Familiarity with NPI, Tax ID, PECOS, CMS applications, provider contracts, and regulatory requirements.
• Experience working with physician groups, hospitals, and ancillary providers.
• Proficient in Microsoft Excel, payer portals, and credentialing software/tools.
• Strong communication, analytical, organizational, and follow-up skills

Interested candidates Please share your resume to the below email id.

Email: [email protected]

Thanks & Regards,

Harika Chintala

Talent Acquisiton Specialist.