Remote Credentialing and Enrollment Specialist

5 days ago

Vijayawada, Andhra Pradesh, India beBeeCredentialing Full time ₹ 10,00,000 - ₹ 25,00,000
Job Description

We are seeking an experienced Credentialing Specialist to join our team. The ideal candidate will have a strong background in provider credentialing, enrollment, and contracting.

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

The successful candidate will be responsible for ensuring that all provider credentials are up-to-date and accurate. This will involve communicating with providers, payers, and internal stakeholders to ensure that all necessary information is collected and processed in a timely manner.

Requirements

To be considered for this role, you must have:

  • 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 the associated documentation.
  • Exceptional communication skills to effectively engage with both clients and payers.
Benefits

This role offers a competitive monthly salary and the opportunity to work from home.

Others

You will need to have a dedicated laptop/PC, fast internet, and a quiet home office with no distractions. You will also need to be available to work EST hours and have at least 1 year of experience working from home successfully during EST hours.

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