Payer Enrollment Job at Randstad (Hyderabad)

Provider Enrollment Specialist II - HP Enrollment Eligibility

Coordinates Medicare and Medicaid enrollment/re-enrollment and managed care cred...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High School Diploma
1-3 years of Payer Enrollment experience
Solid knowledge and utilization of PC applications to include WORD, EXCEL, ACCESS
Excellent written and verbal communication skills
Excellent organization and planning skills with demonstrated teamwork skills
Proven ability to interact with all levels of management and other Associates

Job Responsibility

Collects and maintains data on providers for Medicare and Medicaid enrollment
Prepares and submits applications to Medicare and Medicaid for new provider enrollments and existing provider updates
follows up by telephone or in writing, with carriers regarding application status
Complies with Medicare and Medicaid provider enrollment guidelines
Requests NPI numbers for providers and clinics as necessary and maintains NPI files
Follows up, either by telephone or in writing, with insurance companies and patients regarding the processing of outstanding claims and/or appeals
Generates various reports to identify outstanding claims issues with provider numbers and non-payment
Communicates information to appropriate personnel
Educates staff on corrections, e.g.. front-end entry errors in a positive, constructive manner
Collects and reviews managed care contracts for correct billing and payment terms

Fulltime

New

Credentialing Specialist

We are seeking a Credentialing Specialist who will be responsible for maintainin...

Location

United States

Salary:

22.00 - 27.00 USD / Hour

Expressable

Expiration Date

Until further notice

Requirements

High school diploma or equivalent required
Hands-on experience completing and submitting credentialing and enrollment applications for commercial payers, medicaid, and medicare
Experience maintaining provider files and ensuring compliance with payer and regulatory requirements
Prior experience working directly with providers to collect, validate, and update credentialing information
Familiarity with auditing provider data across multiple systems and resolving discrepancies
Experience following up with payers regarding application status, re-credentialing, and demographic updates
Exposure to denial resolution or authorization issues related to credentialing strongly preferred
Proficiency with credentialing platforms and databases
Strong working knowledge of payer credentialing and enrollment workflows
Comfortable navigating payer portals and researching payer-specific requirements

Job Responsibility

Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications
Maintain accurate provider profiles on CAQH, NPPES and any other applicable profiles
Complete credentialing applications to add current and new providers to commercial, Medicaid, and Medicare payers
Work closely with current and onboarding providers to obtain all necessary information to complete the credentialing and enrollment process
Audit provider information in various systems
Follow up with payers as it relates to credentialing, enrollment, and demographic updates
Research payer processes as it relates to credentialing, enrollment, and demographic updates
Assist in identifying and resolving any denials or authorization issues related to provider credentialing

What we offer

Exceptional paid time off policies that encourage and support life balance, including a winter break
401k matching
Health insurance options
Company paid life, short-term disability, and long-term disability coverage
Remote work environment

Fulltime

New

Enrollment Coordinator

Ansible Health seeks a dedicated and detail-oriented Enrollment Coordinator to j...

Location

United States

Salary:

55000.00 - 60000.00 USD / Year

AnsibleHealth Inc.

Expiration Date

Until further notice

Requirements

Experienced with such as systems PECOS, CAQH, MAC portals, and commercial payer portals
2+ years of payer enrollment and/or credentialing experience in a healthcare setting (commercial, Medicare, Medicaid)
Strong organizational and time-management skills
able to manage multiple priorities under deadlines
High attention to detail and accuracy in handling provider data and applications
Strong communication skills, with the ability to liaise across internal teams and with payer representatives
Comfortable working independently in a remote, contract environment

Job Responsibility

Manage payer enrollment applications across commercial, Medicare, and Medicaid plans, ensuring accurate and timely submissions
Maintain payer portals (e.g., United, Medicare MACs, Medicaid state systems, commercial payer portals), including updates to tax IDs, provider demographic information, and group contracts
Track and reconcile enrollment statuses across internal tracking sheets and payor portals to ensure data accuracy and workload transparency
Monitor and follow up on applications through payer portals and escalate issues when timelines stall
Ensure revalidations, updates, and corrections are submitted promptly to prevent billing disruptions
Collaborate with internal stakeholders (credentialing, revenue cycle, and operations teams) to resolve enrollment-related issues and communicate changes (e.g., contract or tax ID updates)
Provide recommendations on process improvements to reduce delays and improve payer communication
Work within Athena payer enrollment processes, updating and maintaining provider records to reflect current contracts, tax IDs, and group associations

Fulltime

Enrollment Specialist

We’re seeking a Credentialing/Enrollment Specialist to support the enrollment of...

Location

United States , Greenwood Village

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Prior experience in healthcare credentialing or payer enrollment strongly preferred—especially enrolling organizations rather than individual providers
Working knowledge of Medicare and Medicaid enrollment processes
At least 1 year of related experience, or a combination of education and experience
Proficiency with Microsoft Office (Word, Excel, Access, PowerPoint, Outlook)
Ability to collect, organize, and synthesize data into clear reports
Strong judgment and the ability to manage confidential information appropriately
Exceptionally organized with high attention to detail and consistent follow-through
Comfortable working with shifting priorities and meeting deadlines under time constraints
Familiarity with medical and/or legal terminology
Clear, professional communication—both written and verbal

Job Responsibility

Prepare and submit accurate payer enrollment applications—both digital and paper-based—for healthcare organizations
Complete credentialing and contracting requests with exceptional accuracy and attention to detail
Gather necessary licenses, compliance documents, and supporting materials from internal teams
Maintain and track all credentialing activity through company software and internal tracking systems
Update business information, maintain confidentiality, and ensure records are current and compliant
Conduct research, compile data, and assist with reporting as needed
Contribute to special projects and support other operational tasks
Adhere to company policies and standard operating procedures at all times

What we offer

medical
vision
dental
life and disability insurance
eligible to enroll in company 401(k) plan

Senior Manager, Licensing, Credentialing, & Enrollments

Own the strategy and execution of our licensing, credentialing, and Medicaid enr...

Location

United States

Salary:

145000.00 - 170000.00 USD / Year

Pomelo Care

Expiration Date

Until further notice

Requirements

5+ years healthcare operations experience, ideally having worked within healthcare delivery or a high-growth startup
2+ years people management experience
1+ years experience managing licensing, credentialing, and enrollment activities
Experience with credentialing APPs, therapists, registered dietitians, physicians, and doulas with Medicaid managed care plans preferred
Exceptional project management and prioritization skills
Experience building and scaling operational processes for clinicians
Results-oriented operator who moves fast
Meticulous attention to detail
Comfort with ambiguity
Exceptional ability to work cross-functionally with clinicians, technical teams, and external vendors / contacts

Job Responsibility

Manage a team of licensing and credentialing associates and managers
Oversee the end-to-end process for licensing, credentialing and enrolling providers with states and our health plan partners
Own and implement licensing, credentialing, and enrollment strategy across clinical specialties, payers and geographic states to ensure adequate coverage and access to care for patients
Leverage data to proactively identify gaps in both process and clinician licensing, credentialing, and enrollment coverage
Proactively identify and resolve process improvements, both internally and with third parties
Own processes related to the Pomelo Credentialing Committee
Work cross-functionally with our customer success, market operations, and clinical teams to hit our licensing and credentialing goals
Manage relationship with third-party licensing vendor, including holding them accountable to SLAs
Lead audit activities related to licensing, credentialing, and enrollment including delegated credentialing agreements
Scale the licensing, credentialing, and payer enrollment guide across all Pomelo states and payers

What we offer

Competitive healthcare benefits
Generous equity compensation
Unlimited vacation
Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship)

Fulltime

Medical Administrator

In this role, you will be focused on verifying patient's insurance coverage, ens...

Location

United States , Houston

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Engage with insurance payers to verify enrolment and necessary steps needed for coverage
Handle and protect all sensitive information with utmost confidentiality
Perform data entry tasks, ensuring the accuracy of all entries
Utilize email and fax services to distribute documents as required
Conduct enrolment discussions with various parties
Collaborate with team members to meet or exceed performance metrics
Manage multiple tasks, prioritizing work to meet deadlines
Scan, upload, and manage various documents, including forms
Proficiency in Customer Relationship Management (CRM) software
Capability to handle and respond to inbound calls professionally

Job Responsibility

Engage with insurance payers to verify enrolment and necessary steps needed for coverage
Handle and protect all sensitive information with utmost confidentiality
Perform data entry tasks, ensuring the accuracy of all entries
Utilize email and fax services to distribute documents as required
Conduct enrolment discussions with various parties
Collaborate with team members to meet or exceed performance metrics
Manage multiple tasks, prioritizing work to meet deadlines
Scan, upload, and manage various documents, including forms

What we offer

medical, vision, dental, and life and disability insurance
eligibility to enroll in our company 401(k) plan

Fulltime

Senior Trainer – Business Training (Payer Services)

We are looking for a dedicated and experienced Senior Trainer to join our team, ...

Location

India , Chennai

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Minimum 6 years of work experience
Strong understanding of compliance requirements and payer services processes
Exceptional communication and presentation skills
Ability to conduct engaging and effective training sessions
Strong organizational skills and attention to detail
Ability to work collaboratively with different teams and stakeholders
A proactive approach to problem-solving and process improvement
In-depth knowledge of the Revenue Cycle Management (RCM)
Knowledge on Payer workflows like Enrollment, Claims Adjudication, Appeals and Grievances, Payment Integrity & Authorization
Expertise on Payer terminologies (Related to Medicare Advantage programs ) and concepts like Credentialing, Authorization, Out of network and In Network concepts & Subrogation.

Job Responsibility

Develop comprehensive training materials covering the general concepts of Payer Services with a focus on preprocess training
Manage the onboarding process, including system collection, OIG, whitelisting URLs, and ARC orientation training
Conduct client specific orientation sessions to ensure new hires are fully integrated into the company culture and processes
Deliver compliance courses for all employees to ensure adherence to regulatory requirements
Prepare training content for Maintenance of Certification (MOC) and train client partners, ensuring successful assessment closure
Provide client-specific process training for new hires, ensuring they understand all relevant procedures and policies
Offer on-the-job training (OJT) support to new hires, facilitating their transition into their roles
Develop and conduct weekly training sessions based on new updates and error trends
Conduct weekly refresher courses, coaching, and feedback sessions to maintain high performance levels
Maintain extensive knowledge of all processes and sub-processes within Payer Services

New

Insurance Enrollment Representative

This Contract to permanent role focuses on ensuring smooth credentialing and enr...

Location

United States , Lawrenceville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proficiency in using CRM systems to manage provider information and enrollment data
Familiarity with EHR systems for maintaining credentialing records
Strong understanding of compliance standards and regulations related to credentialing
Demonstrated experience in credentialing processes, including enrollment and re-credentialing
Ability to work collaboratively with payers, providers, and internal teams
Excellent organizational and tracking skills to manage documentation and timelines
Effective communication skills for interacting with providers and insurance representatives
Detail-oriented mindset to ensure accuracy in credentialing and enrollment tasks

Job Responsibility

Obtain licenses, certifications, and essential documentation from healthcare providers to support accurate and efficient billing processes
Prepare and submit enrollment applications to payers, ensuring providers are linked to group billing for reimbursement
Maintain accurate and up-to-date records of provider credentials to support credentialing and re-credentialing activities
Collaborate with third-party payers to resolve enrollment issues and ensure uninterrupted cash flow
Meet with newly contracted providers to guide them through the insurance enrollment process
Liaise with insurance representatives to expedite enrollment and address any challenges
Communicate enrollment updates to providers, billing managers, and organizational stakeholders
Provide supervisors and managers with provider identification numbers for system entry
Conduct timely follow-ups on enrollment issues and maintain tracking spreadsheets to monitor progress
Update departmental logs and records to reflect the status of insurance credentialing and re-credentialing processes

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Payer Enrollment

Randstad

Location:
India , Hyderabad

Category:
-

Contract Type:
Not provided

Salary:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 21, 2026

Expiration:
March 23, 2026

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