Senior Provider Enrolment Manager

2 weeks ago

Tirupati, Andhra Pradesh, India beBeeCredentialing Full time ₹ 90,00,000 - ₹ 1,20,00,000

Job Title: Senior Credentialing Specialist

About the Role:

We are seeking experienced professionals with a strong background in end-to-end provider enrollments, insurance credentialing, provider contracting, and recredentialing.

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:

  • 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 associated documentation.
  • Exceptional communication skills to effectively engage with both clients and payers.

Mandatory Requirements:

  • A fast dedicated laptop or PC with I5+ processor, 8GB RAM, Windows 10/11 (licensed and activated), MS Office 2013+
  • A quiet home office with no distractions
  • A minimum of 1 year of experience working from home successfully during EST hours
  • A fast internet connection of at least 50MB+ (fiber or cable into your home)
  • A 9am-6pm EST Mon-Fri shift

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