Provider Enrollment Manager

7 days ago

Nashik, Maharashtra, India beBeeCredentialing Full time ₹ 8,00,000 - ₹ 15,00,000

Job Title:

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Senior Credentialing Specialist

About the Role:

We are seeking experienced professionals who thrive in a remote work environment and are committed to maintaining clear communication with our credentialing team and clients.

Key Responsibilities:

  • Manage provider credentialing and enrollment, including filing Letters of Interest and completing enrollment applications.
  • Engage with payers via calls and emails to ensure successful processing of individual and group applications.
  • Submit required documentation for private commercial payors, Medicare, Medicaid, Medicaid MCO, and Medicare supplement/replacement plans.
  • Maintain regular communication with clients, providing updates and ensuring 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 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 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:

Experience working from home is highly valued and may be taken into account during the hiring process. A quiet home office without distractions is also beneficial.

Specifications:

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).

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