Provider Enrollment Expert

7 hours ago

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

This role is ideal for professionals who thrive in a flexible work environment and are committed to maintaining clear communication with our credentialing team and clients.

Responsibilities include:

  • Managing provider credentialing and enrollment, including filing Letters of Interest and completing enrollment applications.
  • Engaging with payers via calls and emails to ensure the successful processing of applications.
  • Demonstrating expertise in submitting required documentation for private commercial payors, Medicare, Medicaid, Medicaid MCO, and Medicare supplement/replacement plans.
  • Maintaining regular communication with clients, providing updates and ensuring the active status of providers with payers.
  • Handling end-to-end processes for creating and maintaining provider details on platforms like CAQH, PECOS, Availity, Navinet, NPPES, and other provider portals.
  • Managing the application and renewal process for all provider licenses, including Professional, DEA, and Controlled Substance licenses.

We require:

  • A minimum of 5 years of experience in provider credentialing and enrollment.
  • Strong organizational skills and the ability to work independently.
  • Proficiency in using credentialing portals and managing associated documentation.
  • Exceptional communication skills to effectively engage with clients and payers.

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