Remote Healthcare Credentialing Specialist

6 hours ago

India beBeeCredentialing Full time ₹ 1,04,000 - ₹ 1,30,878

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. This role is ideal for individuals who thrive in a remote work environment and are committed to maintaining clear communication with our credentialing 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:

This role offers a monthly salary and the opportunity to work from home.

Ideal Candidate Traits:

  • Ability to work in a quiet home office with minimal distractions.
  • Fast and dedicated internet connection (minimum 50MB).
  • Windows 10/11 laptop or PC with MS Office installed.

  • Remote Contracting and Credentialing Specialist

    18 hours ago

    India Forta Full time

    FORTA'S MISSION: Forta is clearing the path to quality healthcare by delivering the best possible outcomes with the utmost convenience. 1 in 36 children (CDC, 2023) is diagnosed to be on the autism spectrum.  Currently, autism support via Applied Behavior Analysis (ABA) is difficult to access and the delivery model must be expanded to provide earlier...

  • Remote Contracting and Credentialing Specialist

    14 hours ago

    India Forta Full time

    FORTA'S MISSION:Forta is clearing the path to quality healthcare by delivering the best possible outcomes with the utmost convenience. 1 in 36 children [CDC, 2023] is diagnosed to be on the autism spectrum. Currently, autism support via Applied Behavior Analysis (ABA) is difficult to access and the delivery model must be expanded to provide earlier access...

  • Contracting and Credentialing Specialist Career Opportunity

    15 hours ago

    India beBeeCredentialing Full time ₹ 8,00,000 - ₹ 12,00,000

    Job TitleCareer Opportunity for a Contracting and Credentialing SpecialistForta is a leading provider of quality healthcare services, and we are seeking a skilled Contracting and Credentialing Specialist to join our dynamic team.This role involves handling contracting and credentialing needs for our US-based health care providers, diagnostic laboratories,...

  • Medical Biller

    4 weeks ago

    India Skuad: A Payoneer Company Full time

    Medical Biller - Remote 8 AM - 5 PM EST Time Zone Your job would involve: • Primarily remote work with meeting in person on a necessary basis • Verify coverage and eligibility for medical services • Communicate with insurance providers and patients • Review patient bills and correct any missing or inaccurate information • Use a billing software to...

  • Healthcare Specialist

    4 weeks ago

    India Taskify Full time

    We're Hiring Healthcare Specialist For AI Training (Remote) | Earn Between $5,000 - $8,000/MonthAbout the Role: Are you a medical professional with a passion for advancing AI? We are seeking medical experts to contribute to the training and refinement of cutting-edge artificial intelligence models. In this fully remote and flexible role, you will leverage...

  • Urgent) Healthcare Specialist

    4 weeks ago

    India Taskify Full time

    We're Hiring Healthcare Specialist For AI Training (Remote) | Earn Between $5,000 - $8,000/MonthAbout the Role: Are you a medical professional with a passion for advancing AI? We are seeking medical experts to contribute to the training and refinement of cutting-edge artificial intelligence models. In this fully remote and flexible role, you will leverage...

  • Healthcare Support Coordinator

    10 hours ago

    India beBeePatientService Full time US$ 50,000 - US$ 67,000

    Are you a meticulous professional with a passion for healthcare administration seeking a new challenge?We are hiring a Patient Service Specialist to provide essential administrative and patient support in our remote clinic. This is a full-time, home-based position.Position Overview:Main Responsibilities:

  • Healthcare Claims Resolution Specialist

    10 hours ago

    India beBeeHealthcare Full time ₹ 9,00,000 - ₹ 14,25,000

    We are currently seeking a skilled Healthcare Claims Resolution Specialist to join our team. As an experienced AR caller with a strong background in oncology billing and collections, you will play a vital role in resolving outstanding accounts receivable, analyzing denied or underpaid claims, and ensuring compliance with industry standards.Key...

  • US Medical Billing

    3 weeks ago

    India Citadel Coworkers Full time

    Hiring: Billing Manager / Supervisor – US Medical Billing (RCM, Prior Auth, Credentialing)We're looking for a Billing Manager/Supervisor with 10+ years in US Medical Billing (RCM) and 3+ years in a leadership role to build and manage a new team of 4+ billers/coders in India.Key Responsibilities:- Recruit, train & manage 4+ experienced billers/coders-...

  • Remote Senior Radiologist Position

    10 hours ago

    India beBeeRadiologist Full time ₹ 20,00,000 - ₹ 25,00,000

    Senior Medical Imaging Specialist">This is a remote, contractual role for a seasoned Radiologist with an American Board of Radiology (ABR) license specializing in Teleradiology reporting. The successful candidate will be responsible for interpreting medical images, including X-rays, MRIs, CT scans, and mammograms.Key Responsibilities:Interpret medical images...