Medical Enrollment Specialist

1 week ago

Bhavnagar, Gujarat, India beBeeCredentialing Full time ₹ 10,00,000 - ₹ 15,00,000
Job Summary:

The ideal candidate will have a strong background in provider enrollment and a thorough understanding of the credentialing process. This role is crucial for ensuring timely and accurate submission of provider applications, facilitating smooth onboarding, and maintaining compliance with relevant regulations.

Key Responsibilities:
  • Provider Enrollment & Application Management:
  • The successful candidate will possess expertise in the end-to-end provider enrollment process, including proficiency in accurately completing high volumes of provider applications across various specialties and payer types.
  • Ensuring timely and efficient submission of completed applications to relevant entities, tracking application statuses, and proactively following up on outstanding items to expedite approval.
  • Welcome Kit Generation & Contract Loading:
  • The selected candidate will create and disseminate 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, including CAQH, Medicaid, Medicare (PECOS), and NPI portals.
Regional Credentialing Advantage:
  • Experience working with providers specifically in Florida will be considered a significant advantage, demonstrating familiarity with state-specific regulations and payer requirements.
Communication & Responsiveness:
  • Maintain a high level of professionalism and responsiveness in all email communications, promptly addressing queries and providing clear, concise information to internal and external stakeholders.
Compliance & Confidentiality:
  • Adherence to HIPAA regulations and utmost confidentiality of sensitive patient and provider information.

The selected candidate will contribute to a dynamic team and collaborate with various stakeholders to ensure seamless provider onboarding and compliance with regulatory requirements. A strong emphasis will be placed on exceptional communication and problem-solving skills, as well as the ability to adapt to changing circumstances and priorities.

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