Provider Enrollment Specialist

6 days ago

Tiruchi, Tamil Nadu, India beBeeCredentialing Full time ₹ 10,00,000 - ₹ 15,00,000

Job Title:

A seasoned provider enrollment professional with a proven track record of successfully managing end-to-end credentialing and contracting processes is needed to join our team.

Key Responsibilities:

  • Oversee the entire lifecycle of provider enrollments, including submission of Letters of Interest and completion of enrollment applications for all states.
  • Develop and maintain strong relationships with payers through regular communication via phone and email to ensure seamless processing of individual and group applications.
  • Demonstrate expertise in preparing and submitting required documentation for private commercial payors, Medicare, Medicaid, Medicaid MCO, and Medicare supplement/replacement plans.
  • Provide timely updates and ensure the active status of providers with payers, fostering trust and transparency with clients.
  • Manage the creation and maintenance of provider details on various platforms, including CAQH, PECOS, Availity, Navinet, NPPES, and other provider portals.
  • Oversee the application and renewal process for all provider licenses, including Professional, DEA, and Controlled Substance licenses.
  • Maintain up-to-date client and application data, readily available for client requests and inquiries.

Requirements:

  • A minimum of 5 years of experience in provider credentialing and enrollment.
  • Excellent 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.

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