Provider Enrollment Expert

1 week ago

Hyderabad, Telangana, India beBeeCredentialing Full time ₹ 15,00,000 - ₹ 17,00,000
Job Opportunity:

The role of a Senior Credentialing Specialist involves overseeing the entire process of provider credentialing and enrollment, encompassing tasks such as submitting Letters of Interest and completing enrollment applications for all states. This position requires strong organizational skills, attention to detail, and the ability to efficiently complete tasks within set deadlines.

  • Manage the full scope of provider credentialing and enrollment, including filing Letters of Interest and completing enrollment applications for all states.
  • Engage with payers via calls and emails to ensure the successful processing of both individual and group applications.
  • Demonstrate expertise in submitting required documentation for private commercial payors, Medicare, Medicaid, Medicaid MCO, and Medicare supplement/replacement plans.
  • Maintain regular communication with clients, providing updates and ensuring the active status of providers with payers.
  • Handle end-to-end processes for creating and maintaining provider details on platforms such as CAQH, PECOS, Availity, Navinet, NPPES, and other provider portals.
  • Manage the application and renewal process for all provider licenses, including Professional, DEA, and Controlled Substance licenses.
  • Ensure continuous updating and maintenance of client and application data, readily available for client requests.
Key Qualifications:
  • A minimum of 5 years of experience in provider credentialing and enrollment.
  • Strong organizational skills and the ability to work independently in a remote setting.
  • Proficiency in using credentialing portals and managing associated documentation.
  • Exceptional communication skills to effectively engage with both clients and payers.

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