Job Description

Company:

Healthcare Informatics Pvt. Ltd. (HIPL)

Location:

Remote (Anywhere in India)

Salary:

Competitive & based on experience

About the Company:

Healthcare Informatics Pvt. Ltd. (HIPL)

, established in 2006, is a leading healthcare services company specializing in

Revenue Cycle Management (RCM)

,

Medical Records Management

, and

Healthcare IT solutions

. We serve medical billing companies, clinics, and hospitals by delivering high-quality services in

Medical Transcription, Medical Billing & Coding

, and

Information Technology

with integrated database applications.

:

We are seeking an experienced

Credentialing Specialist

with a strong background in

provider enrollment and credentialing

for multiple payers. The ideal candidate should have hands-on experience working

on the provider side

(for a clinic, group practice, or billing company), handling new enrollments, revalidations, and credentialing renewals with accuracy and efficiency.

Key Responsibilities:

Manage

provider enrollment and credentialing

with

Medicare, Medicaid, and commercial payers

.

Create, update, and maintain

credentialing files for all healthcare providers.

Prepare, complete, and submit

credentialing and recredentialing applications accurately and on time. Maintain and update

CAQH profiles

, ensuring attestations are current. Utilize

PECOS

for Medicare enrollment and reassignments (855I, 855R, 855B). Perform

regular follow-ups

with payers to track application status and resolve pending issues. Ensure all provider credentials (licenses, DEA, NPI, malpractice certificates) are current and properly documented. Collaborate with internal teams to ensure providers are active and linked for claim submissions.

Required Candidate Profile:

Minimum

5 years of experience

in

Provider Enrollment and Credentialing

(on the

provider or billing company side

). Strong working knowledge of

PECOS

,

CAQH

, and

Medicaid enrollment processes

. Experience handling

individual and group enrollments

. Excellent communication, organization, and follow-up skills. Detail-oriented and proficient in

MS Office (Excel, Word, Outlook)

. Ability to manage multiple providers and payers simultaneously.

Preferred Qualifications:

Experience with

multi-specialty medical or dental provider groups

. Familiarity with

RCM (Revenue Cycle Management)

workflow. Prior experience in a

medical billing or healthcare operations

company.

Why Join Us:

Opportunity to work with a growing healthcare team. Exposure to multiple payer systems and credentialing processes. Supportive and collaborative work culture. Competitive compensation and career growth opportunities.
Job Type: Full-time

Pay: From ?480,000.00 per year

Benefits:

Provident Fund Work from home
Application Question(s):

After submitting a Medicaid enrollment, what steps do you take to ensure the provider is fully active and ready for billing? When you process a Medicare enrollment using PECOS, what is the difference between handling an individual provider application and a group reassignment (855R)? How do you maintain a provider's CAQH profile, and how does it impact the credentialing process?
Work Location: Remote