Provider Enrollment Coordinator

1 day ago


Mumbai, Maharashtra, India beBeeCredentialing Full time ₹ 10,65,600 - ₹ 13,44,000

Job Overview

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We are seeking a skilled Provider Credentialing Specialist to join our team. This is an exciting opportunity for professionals who thrive in a remote work environment and have a strong background in provider enrollments, insurance credentialing, and contracting.

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Key Responsibilities:

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  • Manage the entire provider credentialing and enrollment process, including filing Letters of Interest and completing enrollment applications.">
  • Communicate effectively with payers via calls and emails to ensure successful processing of individual and group applications.">
  • Submit required documentation for private commercial payors, Medicare, Medicaid, Medicaid MCO, and Medicare supplement/replacement 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 platforms such as CAQH, PECOS, Availity, Navinet, NPPES, and other provider portals.">
  • Manage 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.">
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Requirements:

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  • 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.">
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