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Provider Credentialing Expertise

3 weeks ago

Dindigul, Tamil Nadu, India beBeeCredentialing Full time ₹ 9,00,000 - ₹ 12,00,000
Job Title: Provider Credentialing Expertise

We are seeking a skilled Provider Credentialing Expert to manage end-to-end provider credentialing and enrollment processes. The ideal candidate will possess extensive knowledge of healthcare provider portals, including CAQH, PECOS, Availity, Navinet, NPPES, and other platforms.

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 successful processing of 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 active status of providers with payers.
  • Handle end-to-end processes for creating and maintaining provider details on healthcare portals.
  • Manage 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 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.

This role requires a high level of attention to detail, strong analytical skills, and the ability to prioritize multiple tasks and deadlines. If you have a passion for healthcare and a drive to succeed, we encourage you to apply.