Remote Credentialing Expert

3 days ago

Malappuram, Kerala, India beBeeCredentialing Full time ₹ 10,00,000 - ₹ 15,00,000
Job Description

Our organization is seeking a highly skilled Credentialing Specialist to join our team on a permanent work-from-home basis. As a Senior Credentialing Specialist, you will be responsible for managing the full spectrum of provider credentialing and enrollment processes, ensuring seamless communication with clients and payers.

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

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

To succeed in this role, you will require:

  • 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

This position offers a monthly salary and a quiet home office with no distractions. The ideal candidate will have at least 1 year of experience working from home successfully during EST hours and a minimum dedicated fast internet connection of 50MB+. A laptop/PC I5+, 8GB Ram, Windows 10/11 (licensed and activated), MS Office 2013 + (working copy) is also mandatory.

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