Experienced Provider Credentialing Expert

4 hours ago

Thrissur, Kerala, India beBeeCredentialing Full time ₹ 50,00,000 - ₹ 1,00,00,000
Senior Credentialing Specialist

We are seeking experienced professionals with a strong background in provider enrollments, insurance credentialing, and recredentialing. This role is ideal for individuals who thrive in remote work environments and are committed to maintaining clear communication with our team and clients.

About the Role:

The Senior Credentialing Specialist will be responsible for managing the full spectrum of provider credentialing and enrollment, including filing Letters of Interest and completing enrollment applications for all states. The individual will engage with payers via calls and emails to ensure the successful processing of both individual and group applications.

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.

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:

  • Monthly salary.

Working Conditions:

  • Quiet home office with no distractions.
  • Fast dedicated laptop/PC I5+, 8GB Ram, Windows 10/11 (licensed and activated), MS Office 2013 + (working copy).
  • Minimum dedicated fast internet 50MB+ (must be fiber or cable into your home).
  • 9am-6pm EST Mon-Fri shift.

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