Remote Provider Credentialing and Enrollment Specialist

4 days ago

Belgaum, Karnataka, India beBeeCredentialing Full time ₹ 9,87,654 - ₹ 12,34,567
Job Title: Senior Credentialing Specialist

We are seeking a highly skilled and experienced Credentialing & Enrollment Specialist to join our team. This role involves managing the full spectrum of provider credentialing and enrollment, including filing Letters of Interest and completing enrollment applications for all states.

The ideal candidate will have a strong background in end-to-end Provider Enrollments, Insurance Credentialing, Provider Contracting, and ReCredentialing. They should be able to thrive in a remote work environment and maintain clear communication with our credentialing team and clients.

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

As a member of our team, you can expect a competitive monthly salary and a dynamic work environment that promotes growth and development.

Our company offers a range of benefits, including flexible working hours, professional training and development opportunities, and a comprehensive compensation package.

Others:

Must have 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 is required. At least 1 year of experience working from home successfully during EST hours is necessary. Minimum dedicated fast internet 50MB+ (must be fiber or cable into your home) is also required. 9am-6pm EST Mon-Fri shift is mandatory.

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