Provider Enrolment Specialist

Credentialing Specialist – Work From Home (Full-Time)

Role Overview (In Simple Terms

)We are hiring experienced Credentialing & Enrollment Specialists who can handle the entire process of enrolling healthcare providers with insurance companie s. This is a permanent work-from-home rol e and requires strong attention to detail, good communication, and the ability to manage multiple applications independently

What You’ll Be Doi

• ngManag e end-to-end provider credentialing and insurance enrollme nt for individual and group provider
• s.Submit and trac k enrollment applicatio ns across all US state
• s.Fil e Letters of Interest (LOI s) and follow up with insurance payers via calls and email
• s.Work wit h private insurance, Medicare, Medicaid, Medicaid MCOs, and Medicare Advantage pla n
• s.Maintain and update provider profiles on portals lik
• e : CA
• QHPEC
• OSAvaili
• tyNavin
• etNPP
• ESApply for and renew provider licenses such a
• s : Professional licens
• esD
• EAControlled Substance licens
• esEnsure provider information and documents are always accurate and up to dat
• e.Regularly update clients on application status and ensure providers remain active with payer
• s.Work independently while staying highly engaged with the remote tea

m.

Must-Have Requireme

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