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

Provider Enrollment Specialist Senior

This role serves as a Payer Enrollment liaison. Represents Payer Enrollment on m...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High school diploma or equivalent required
3-5 years of Payer Enrollment experience preferred
Solid knowledge and utilization of PC applications including Microsoft Word and Excel
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
In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Collaborates with CBO and local operations on enrollment related issues
Attends and provides enrollment related updates on matrix calls
Collaborates with Credentialing Team and local operations on items needed
Updates Credentialing/Payer Enrollment database as needed
Accesses payer databases as needed to ensure appropriate enrollment
Performs multi-state Medicaid Enrollment through state portals
Submits updates as needed to payers
Maintains internal enrollment database
Educates associates on enrollment processes when needed

Fulltime

Senior Analyst – Payer Enrollment

To drive operational excellence in payer enrollment by managing the complete enr...

Location

India , Hyderabad

Salary:

Not provided

Randstad

Expiration Date

May 04, 2026

Requirements

Minimum 2+ years of hands-on experience in Payer Enrollment—Commercial or Medicaid, depending on the requirement
Deep understanding of payer portals, CAQH, NPPES, PECOS, Medicaid enrollment processes, and revalidation cycles
Proven ability to handle multiple providers and payers simultaneously with high accuracy
Strong analytical skills to diagnose enrollment issues and execute root-cause corrections
Clear and professional communication skills, both verbal and written
Ability to work in a high-volume, deadline-driven operational environment

Job Responsibility

Manage the full-cycle payer enrollment and revalidation process for healthcare providers (Physicians, NPs, PAs, RNs, CRNAs, etc.)
Prepare, review, and submit enrollment applications across Commercial and/or Medicaid payers
Track application progress, follow up with payers, and maintain accurate, up-to-date documentation
Ensure compliance with federal, state, and payer-specific policies and guidelines
Stay updated on changes in payer rules, Medicaid regulations, CAQH requirements, and credentialing standards
Conduct data quality checks prior to submission to minimize risks of rejections or delays
Investigate and resolve complex enrollment issues—rejections, NPI/taxonomy discrepancies, retro-effective enrollment, and portal conflicts
Serve as a point of escalation for difficult payer inquiries
Coordinate with internal Quality, Credentialing, and Provider Data teams to address blockers
Identify inefficiencies in the enrollment workflow and recommend enhancements to reduce turnaround time and improve accuracy

Fulltime

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

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

Medical Credentialing Specialist

The Robert Half Healthcare Practice is working with a healthcare network to brin...

Location

United States , Indianapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Must have Payer enrollment experience
Must have Primary Source Verification (PSV) experience
Must know how to use the following Credentialing software, PECOS, Medicare and Medicaid Enrollments for both provider and Facility, MPPES, CAQH and Excel
Knowledge of working with National Payors (UHC, Anthem BCBS, Etc)
Must know how to manage reports
Must have knowledge of working claims and denials
Bachelors and a CPCS preferred

Job Responsibility

Provider Credentialing: Review provider credentials, maintain accurate electronic data, and complete ARMS credentialing and re-credentialing
Payer Enrollment: Complete, monitor, and follow up on provider credentialing and payer enrollment with all commercial, Medicaid, Medicare, and Medicaid managed care payers
Data Management: Maintain CAQH, NPPES/PECOS, and state license information for all providers
Risk Management: Obtain and maintain malpractice coverage, EMR licenses, and signed physician contracts
Compliance: Ensure compliance with the affiliate, state, and federal regulations
Equity and Accountability: Demonstrate commitment to health equity, racial equity, and continuous improvement

What we offer

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

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

Payer Enrollment

Randstad

Location:
India , Hyderabad

Category:
-

Contract Type:
Not provided

Salary:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
April 12, 2026

Expiration:
June 08, 2026

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