Remote Credentialing Professional

2 days ago

Kollam, Kerala, India beBeeCredentialing Full time ₹ 60,00,000 - ₹ 80,00,000
Senior Credentialing Specialist

We are seeking a highly skilled and experienced Credentialing & Enrollment Specialist to join our team. This role is ideal for professionals who thrive in a remote work environment and are committed to maintaining clear communication with our credentialing team and clients.

  • The successful candidate will be responsible for managing 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.

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:

  • Flexible working hours (9am-6pm EST Mon-Fri)
  • Quiet home office with no distractions
  • Fast dedicated laptop/PC I5+, 8GB Ram, Windows 10/11 (licensed and activated), MS Office 2013 + (working copy)
  • Minimum dedicated fast internet 50MB+ (must be fiber or cable into your home)

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