Remote Provider Credentialing and Enrollment Expert

6 days ago

Kota, Rajasthan, India beBeeProvider Full time ₹ 60,00,000 - ₹ 90,00,000
Provider Credentialing and Enrollment Specialist

This is a key role in our organization where you will be responsible for managing the full spectrum of provider credentialing and enrollment.

About the Role:

We are seeking an experienced Provider Credentialing and Enrollment Specialist with a strong background in end-to-end Provider Enrollments, Insurance Credentialing, Provider Contracting, and ReCredentialing. This role is ideal for professionals who thrive in a remote work environment and are committed to maintaining clear communication with our 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:

  • 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:

  • A competitive monthly salary.
  • The opportunity to work from home with a quiet office space.
  • A fast dedicated laptop/PC I5+, 8GB Ram, Windows 10/11 (licensed and activated), MS Office 2013 + (working copy).
  • Dedicated fast internet 50MB+ (must be fiber or cable into your home).
  • A 9am-6pm EST Mon-Fri shift.

Other Requirements:

  • Has at least 1 year of experience working from home successfully during EST hours.

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