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Provider Enrollment Manager

2 weeks ago

Ajmer, Rajasthan, India beBeeCredentialing Full time ₹ 9,00,000 - ₹ 12,00,000
Senior Credentialing Specialist

We are seeking experienced professionals to fill the role of Senior Credentialing Specialist. This is a permanent work-from-home position, ideal for those who thrive in remote work environments and maintain clear communication with clients.

This position requires strong organizational skills, proficiency in using credentialing portals, and exceptional communication skills to engage with clients and payers effectively.

  • Manage end-to-end processes for creating and maintaining provider details on platforms such as CAQH, PECOS, Availity, Navinet, NPPES, and other provider portals.
  • Handle application and renewal processes for all provider licenses, including Professional, DEA, and Controlled Substance licenses.

Key Responsibilities:

  • Manage 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 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 active status of providers with payers.

Requirements:

  • Minimum 5 years 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 both clients and payers.

Benefits:

  • Monthly salary.
  • Opportunity to work from home with fast dedicated laptop/PC I5+, 8GB Ram, Windows 10/11 (licensed and activated), MS Office 2013 + (working copy).
  • Quiet home office with no distractions.
  • Fast internet connection with minimum 50MB speed.