Professional Provider Enrollment Specialist

1 week ago


Bellary, Karnataka, India beBeeCredentialing Full time ₹ 20,00,000 - ₹ 25,00,000
Provider Credentialing and Enrollment Expert

The ideal candidate will have a strong background in provider credentialing and enrollment, with experience managing the full spectrum of provider applications.

Key Responsibilities:

  • Manage the application and renewal process for all provider licenses.
  • Engage with payers 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 on the 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.

Requirements:

  • A minimum of 5 years of experience in provider credentialing and enrollment.
  • Strong organizational skills and the ability to work independently.
  • Proficiency in using credentialing portals and managing associated documentation.
  • Exceptional communication skills to effectively engage with clients and payers.

Technical Requirements:

  • 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 speed of 50MB+ (must be fiber or cable into your home).
  • 9am-6pm EST Mon-Fri shift.


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