Senior Provider Enrollment Lead

6 days ago


Aligarh, Uttar Pradesh, India beBeeProvider Full time ₹ 9,00,000 - ₹ 12,00,000
Job Description

The Senior Provider Enrollment Specialist is responsible for managing the full spectrum of provider credentialing and enrollment, including filing Letters of Interest and completing enrollment applications for all states.

Key responsibilities include engaging with payers via calls and emails to ensure the successful processing of both individual and group applications. Additionally, the specialist will demonstrate expertise in submitting required documentation for private commercial payors, Medicare, Medicaid, Medicaid MCO, and Medicare supplement/replacement plans.

  • Manage end-to-end processes for creating and maintaining provider details on platforms such as CAQH, PECOS, Availity, Navinet, NPPES, and other provider portals.
  • 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 clients and payers.


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