Dedicated Provider Credentialing Expert

1 day ago

Varanasi, Uttar Pradesh, India beBeeCredentialing Full time US$ 8,00,000 - US$ 10,00,000
Senior Credentialing Specialist Job Description

Are you a skilled and detail-oriented professional with experience in provider credentialing and enrollment? Do you excel in working independently in a remote setting and have exceptional communication skills to engage with clients and payers? We are seeking an experienced Credentialing & Enrollment Specialist to join our team.

This role is ideal for professionals who thrive in a remote work environment and are committed to maintaining clear communication with our credentialing team and clients. As a Senior Credentialing Specialist, you will be responsible for managing the full spectrum of provider credentialing and enrollment, including filing Letters of Interest and completing enrollment applications for all states.

Key Responsibilities:

  • Manage the full spectrum 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.

Requirements:

  • 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 the associated documentation.
  • Exceptional communication skills to effectively engage with both clients and payers.

Benefits:

  • Monthly Salary

Other Requirements:

  • Has a fast dedicated laptop/PC I5+, 8GB Ram, Windows 10/11 (licensed and activated), MS Office 2013 + (working copy).
  • Quiet home office with no distractions
  • Have at least 1 year of experience working from home successfully during EST hours
  • Minimum dedicated fast internet 50MB+ (must be fiber or cable into your home)
  • 9am-6pm EST Mon-Fri shift.

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