Professional Enroller

2 days ago

Kottayam, Kerala, India beBeeCredentialing Full time ₹ 9,00,000 - ₹ 12,00,000
Senior Credentialing Specialist

We are seeking experienced professionals with a strong background in provider enrollment, insurance credentialing, contracting, and recredentialing. This role is ideal for those who thrive in remote work environments and prioritize clear communication with our teams and clients.

Key Responsibilities:
  • Manage provider credentialing and enrollment across all states, including filing letters of interest and completing enrollment applications.
  • Engage with payers via calls and emails to ensure successful processing of individual and group applications.
  • Demonstrate expertise in submitting required documentation for private commercial payors, Medicare, Medicaid, MCO, and Medicare supplement/replacement plans.
  • Maintain regular communication with clients, providing updates and ensuring active provider status with payers.
  • Handle end-to-end processes for creating and maintaining provider details on platforms like CAQH, PECOS, Availity, Navinet, NPPES, and other provider portals.
  • Manage application and renewal processes for all provider licenses, including professional, DEA, and controlled substance licenses.
Required Skills and Qualifications:
  • A minimum of 5 years of experience in provider credentialing and enrollment.
  • Strong organizational skills and 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.

Please note that a quiet home office with minimal distractions is required. You will also need a dedicated laptop/PC with an I5+ processor, 8GB RAM, Windows 10/11 (licensed and activated), MS Office 2013 + (working copy), a fast, dedicated internet connection with a minimum speed of 50MB+, and a 9am-6pm EST Mon-Fri shift.

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