Medical Practitioner Enroller

3 days ago

Kolkata, West Bengal, India beBeeCredentialing Full time ₹ 90,00,000 - ₹ 1,20,00,000
Provider Credentialing Specialist

We are seeking a highly motivated and detail-oriented professional to join our organization 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:
  • Expertise in the end-to-end provider enrollment process, including accurate completion and submission of applications across various specialties and payers.
  • Timely and efficient submission of all completed applications to relevant entities.
  • Tracking application statuses and proactively following up on outstanding items to expedite approval.
Welcome Kit Generation & Contract Loading:
  • Creation and dissemination of 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 creating and managing accounts within key healthcare application portals, including CAQH, Medicaid, Medicare (PECOS portal), and NPI.
Regional Credentialing Advantage:
  • Experience working with providers specifically in Florida will be considered a significant advantage, demonstrating familiarity with state-specific regulations and payer requirements.
Communication & Responsiveness:
  • Maintain a high level of professionalism and responsiveness in all email communications, promptly addressing queries and providing clear, concise information to internal and external stakeholders.
Compliance & Confidentiality:
  • Strict adherence to HIPAA regulations and maintain the utmost confidentiality of sensitive patient and provider information.

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