13 Oct
Important Business
Alappuzha
Position Overview:
We are seeking experienced Credentialing & Enrollment Specialists with a strong background in end-to-end Provider Enrollments, Insurance Credentialing, Provider Contracting, and ReCredentialing. This role is ideal for professionals who thrive in a remote work environment and are committed to maintaining clear communication with our credentialing team and clients. Attention to detail and the ability to flawlessly complete tasks within set deadlines are essential for this position.
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 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.
Ensure continuous updating and maintenance of client and application data, readily available for client requests.
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.
Mandatory Requirements:
- Has a fast dedicated laptop/PC I5+, 8GB Ram, Windows 10 (licensed and activated), MS Office 2013 + (working copy). (I3 only considered with SSD drive and 8GB ram) Lease option available for initial months till you get laptop/PC.
- Quiet home office with no distractions
- Have at least 3 years experience working from home successfully during EST hours
- Minimum dedicated fast internet 100MBPS (must be fiber or cable into your home)
Job Type: Full-time, Permanent Work-From-Home
Salary: Competitive,
based on experience and skills
If you're an expert in credentialing with a passion for precision and client service, we invite you to apply!
▶️ Senior Credentialing Specialist (Permanent Work-From-Home)
🖊️ Important Business
📍 Alappuzha