Remote Provider Enrollment Specialist

2 days ago

Guntur, Andhra Pradesh, India beBeeEnrollment Full time ₹ 15,00,000 - ₹ 18,00,000
About the Role

Experienced Credentialing & Enrollment Specialists with a strong background in end-to-end Provider Enrollments, Insurance Credentialing, Provider Contracting, and ReCredentialing are sought after.

The ideal candidate thrives in a remote work environment and is committed to maintaining clear communication with our credentialing team and clients. Attention to detail and the ability to flawlessly complete tasks within set deadlines are essential for this position.

Key Responsibilities:

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

Benefits:

  • This role offers the opportunity to work remotely with a quiet home office and fast dedicated internet.
  • 9am-6pm EST Mon-Fri shift.

Special Considerations:

  • Has a fast dedicated laptop/PC I5+, 8GB Ram, Windows 10/11 (licensed and activated), MS Office 2013 + (working copy).
  • Quiet home office with no distractions.
  • Have at least 1 year of experience working from home successfully during EST hours.

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