Provider Enrollment and Credentialing Manager

2 weeks ago

Aligarh, Uttar Pradesh, India beBeeCredentialing Full time ₹ 10,00,000 - ₹ 15,00,000
Provider Credentialing Specialist

We are seeking an experienced Provider Credentialing Specialist to join our team. The ideal candidate will possess a strong background in provider enrollment and a comprehensive understanding of the credentialing process.

The successful candidate will be responsible for managing the end-to-end provider enrollment process, ensuring accurate and timely completion of applications across various specialties and payer types.

  • Key Responsibilities:
  • Demonstrated expertise in the end-to-end provider enrollment process, including proficiency in accurately completing a high volume of provider applications.
  • Tracking application statuses and proactively following up on outstanding items to expedite approval.
  • Welcome Kit Generation & Contract Loading: Responsible for creating and disseminating comprehensive Welcome Kits for new providers, ensuring all necessary documentation and information is included.
  • Accurate and efficient loading of provider contracts into designated systems, ensuring all terms and conditions are correctly captured.
  • Application Portal Expertise: Extensive experience in creating and managing accounts within key healthcare application portals.

Required Skills and Qualifications:

  • Excellent Communication and Interpersonal Skills: Demonstrates exceptional ability to convey information clearly, concisely, and effectively.
  • Ability to Work Independently and as Part of a Team: Exhibits a strong sense of initiative and self-motivation, capable of managing tasks and responsibilities autonomously.
  • Proficiency in Google Sheets and Docs: Highly skilled in utilizing Google Sheets for data organization, analysis, and visualization.
  • Excellent Typing Skills: Possesses a high level of accuracy and speed in typing, significantly contributing to efficient data entry and document creation.
  • Comprehensive Knowledge of Computer Usage and Navigation: Displays a thorough understanding of operating systems, common software applications, and internet browsers.

Basic Qualifications:

  • Bachelor's Degree (Preferred) in a relevant major such as Healthcare Administration, Health Information Management (HIM), Business Administration, or Public Health.
  • Experience: Expertise in provider enrollment and credentialing processes, ensuring ethical and accurate completion and submission of applications.
  • Technical Skills: High proficiency in Google Sheets (formulas, pivot tables, charts) and Google Docs, supporting a high-performance culture through efficient workflows.
  • Compliance & Ethics: Strict adherence to HIPAA and federal/state credentialing guidelines, ensuring ethical conduct in all processes.

Key Competencies:

  • Communication: Clear, professional, and ethical verbal and written communication; highly responsive in emails to foster trust.
  • Organization: Track application statuses and ensure timely submissions with diligence, supporting a high-performance culture.
  • Independence & Teamwork: Work autonomously with ethical initiative and collaborate effectively to drive team excellence.
  • Attention to Detail: Accurate application and contract management, reflecting commitment to quality and ethical precision.

  • Senior Credentialing Specialist

    2 weeks ago

    Aligarh, Uttar Pradesh, India beBeeCredentialing Full time ₹ 8,00,000 - ₹ 15,00,000

    Credentialing ProfessionalAs a Credentialing Professional, you will play a vital role in ensuring the integrity of our credentialing processes. You will be responsible for overseeing day-to-day operational credentialing and privileging activities, collaborating with the Credentialing Manager to ensure proper functioning of activities, policies, and...

  • Associate/sr/ Associate- Credentialing Only 24h Left

    2 weeks ago

    Aligarh, Uttar Pradesh, India CompuGroup Medical Full time

    Create the future of e-health together with us by becoming a Associate Sr Associate Credentialing At CompuGroup Medical our mission is to build groundbreaking solutions for digital healthcare We aim to revolutionize how healthcare professionals produce access and utilize information enabling them to focus on the core value of their work patient...

  • Senior Quality Assurance Engineer

    1 week ago

    Aligarh, Uttar Pradesh, India beBeeQualityEngineer Full time ₹ 15,00,000 - ₹ 25,00,000

    Job Summary:We are seeking an experienced Quality Engineering Specialist to lead our quality engineering efforts.The ideal candidate will have a minimum of 5-9 years of experience in the end-to-end process of provider enrollments/insurance credentialing, provider contracting, and re-credentialing.Key Responsibilities:Quality Plan Development: Develop and...

  • Center Manager-Learning Center

    2 weeks ago

    Aligarh, Uttar Pradesh, India upGrad Full time

    Roles & ResponsibilitiesEstablish performance metrics and conduct regular performance evaluations, providing coaching and training to enhance team sales skills.Continuously improving the sales process, identifying areas for enhancement, and implementing streamlined approaches for greater efficiency.Oversee the management of customer relationships, ensuring a...

  • Expert Mobile Device Manager Wanted

    1 week ago

    Aligarh, Uttar Pradesh, India beBeeMobileDeviceManagement Full time ₹ 80,00,000 - ₹ 1,00,00,000

    Job DescriptionWe are seeking a highly skilled Mobile Device Management Specialist to join our team.About the RoleThe successful candidate will play a key role in establishing a robust Mobile Device Management system, creating an Android Enterprise Account for app store management, deploying an MDM platform compatible with Android to facilitate unified...

  • Cloud Computing Expert

    1 week ago

    Aligarh, Uttar Pradesh, India beBeeCloud Full time ₹ 1,50,00,000 - ₹ 2,50,00,000

    **Job Description**We are seeking a seasoned Cloud Architect to spearhead our platform modernization journey. This individual will be responsible for defining and evolving the platform architecture, focusing on healthcare provider data pipelines, lifecycle management, credentialing, attestation, and compliance-driven workflows.This is an exciting opportunity...

  • Academic Operations Specialist

    1 week ago

    Aligarh, Uttar Pradesh, India beBeeStudentSuccess Full time ₹ 8,00,000 - ₹ 12,00,000

    Key Student Success Position:We are seeking a proactive and detail-oriented post-enrolment operations specialist to support our students after they have enrolled in our programs. The ideal candidate will ensure students have a seamless academic journey by managing administrative processes, providing timely assistance, and maintaining accurate student...

  • Revenue Cycle Management Expert

    2 weeks ago

    Aligarh, Uttar Pradesh, India beBeeLeader Full time ₹ 10,00,000 - ₹ 15,00,000

    RCM Team LeadWe are seeking an experienced professional to establish and manage a new Revenue Cycle Management (RCM) team in India. The ideal candidate will possess strong leadership skills and expertise in medical billing, coding, prior authorization, denial management, and insurance verification.Key Responsibilities:Team Setup & Leadership:Recruit, train,...

  • Asset Management Expert

    2 weeks ago

    Aligarh, Uttar Pradesh, India beBeeInvestment Full time ₹ 75,00,000 - ₹ 2,50,00,000

    Our organization seeks individuals who uphold the highest standards of integrity, demonstrating professionalism in every interaction. We value colleagues who treat others with respect and consistently align personal ambition with our firm's collective goals.Location: Multiple Locations AvailableAbout the Role:We are looking for an Associate/Senior Associate...

  • Relationships Professional

    2 weeks ago

    Aligarh, Uttar Pradesh, India beBeeCustomer Full time ₹ 40,000 - ₹ 50,000

    We are seeking a skilled Customer Relationship professional to join our team based in India.This exciting role will involve conducting demo calls with prospective students, building trust and providing guidance on program details, enrollment process and next steps.Key responsibilities include:Conducting demo calls with prospective students for our...