Provider Enrollment and Credentialing Specialist

21 hours ago

Coimbatore, Tamil Nadu, India beBeeCredentialing Full time ₹ 8,00,000 - ₹ 12,00,000

Job Overview

This is an exciting opportunity to join our team as a Provider Credentialing Specialist. The ideal candidate will possess a strong background in provider enrollment and a comprehensive understanding of the credentialing process.

Key Responsibilities:

  • Provider Enrollment & Application Management:
  • Demonstrated expertise in the end-to-end provider enrollment process, ensuring timely and accurate submission of applications across various specialties and payer types.
  • Proficiency in accurately completing a high volume of provider applications, tracking application statuses, and proactively following up on outstanding items to expedite approval.
  • Welcome Kit Generation & Contract Loading:
  • Responsible for creating and disseminating comprehensive Welcome Kits for new providers, ensuring all necessary documentation and information is included.
  • Accurate and efficient loading of provider contracts into the designated system, ensuring all terms and conditions are correctly captured.
  • Application Portal Expertise:
  • Extensive experience in managing accounts within key healthcare application portals, including CAQH, Medicaid, Medicare (PECOS), and NPI portals.

Required Skills and Qualifications:

  • Bachelor's Degree in Healthcare Administration, Health Information Management, Business Administration, or Public Health.
  • An associate's degree combined with relevant work experience may suffice for entry-level roles.
  • Expertise in provider enrollment and credentialing processes, ensuring ethical and accurate completion and submission of applications.
  • Familiarity with state-specific regulations and payer requirements.
  • High proficiency in Google Sheets and Docs, supporting efficient workflows.
  • Excellent typing skills for precise data entry.
  • Strong knowledge of operating systems, software, and browsers.
  • Compliance & Ethics:
  • Strict adherence to HIPAA and federal/state credentialing guidelines.
  • Maintain confidentiality of sensitive information with integrity.

Benefits:

  • Opportunity to work in a dynamic and growing industry.
  • Chance to develop your skills and expertise in provider enrollment and credentialing.
  • Collaborative and supportive work environment.

Others:

  • This role demands a detail-oriented professional with a strong ethical foundation, technical proficiency, and a drive for performance excellence in credentialing.
  • The ideal candidate will possess a strong background in provider enrollment and a comprehensive understanding of the credentialing process.

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