Remote Provider Enrollment Specialist

7 days ago

Ghaziabad, Uttar Pradesh, India beBeeCredentialing Full time ₹ 20,00,000 - ₹ 25,00,000

We are seeking a skilled Provider Enrollment Professional to join our team.

About the Role: We aim to hire experienced professionals with a strong background in provider enrollments, insurance credentialing, and provider contracting. This role is ideal for individuals who thrive in remote work environments and possess excellent communication skills.

Key Responsibilities:

  • Manage the full spectrum of provider credentialing and enrollment processes, 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.

Benefits:

  • Monthly Salary

Working Conditions:

  • Quiet home office with no distractions
  • Minimum dedicated fast internet 50MB+
  • 9am-6pm EST Mon-Fri shift

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