Credentialing Specialist

4 days ago

Alwar, Rajasthan, India beBeeCredentialing Full time ₹ 15,00,000 - ₹ 20,00,000
Provider Enrollment Professional

About the Role:

We are seeking experienced professionals with a strong background in provider credentialing and enrollment. This role is ideal for individuals who thrive in remote work environments and are committed to maintaining clear communication with our team and clients.

Key Responsibilities:

  • Manage provider credentialing and enrollment processes, ensuring timely filing of letters of interest and applications across all states.
  • Engage with payers via calls and emails to guarantee successful processing of individual and group applications.
  • Demonstrate expertise in submitting required documentation for private commercial payors, Medicare, Medicaid, and other plans.
  • Maintain regular communication with clients, providing updates and ensuring active status of providers with payers.
  • Handle end-to-end processes for creating and maintaining provider details on various platforms.
  • Manage application and renewal processes for all provider licenses.
  • Ensure continuous updating and maintenance of client and application data.

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 clients and payers.

Benefits:

This role offers a competitive monthly salary and the opportunity to work in a dynamic remote environment with a skilled team.

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