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Bikham
Provider Enrolment SpecialistBikham • Mumbai, IN
Provider Enrolment Specialist

Provider Enrolment Specialist

Bikham • Mumbai, IN
2 days ago
Job description

About the Company



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



About the Role



Manage end-to-end provider credentialing and insurance enrollment for individual and group providers.



Responsibilities



  • Submit and track enrollment applications across all US states.
  • File Letters of Interest (LOIs) and follow up with insurance payers via calls and emails.
  • Work with private insurance, Medicare, Medicaid, Medicaid MCOs, and Medicare Advantage plans.
  • Maintain and update provider profiles on portals like:
  • CAQH
  • PECOS
  • Availity
  • Navinet
  • NPPES
  • Apply for and renew provider licenses such as:
  • Professional licenses
  • DEA
  • Controlled Substance licenses
  • Ensure provider information and documents are always accurate and up to date.
  • Regularly update clients on application status and ensure providers remain active with payers.
  • Work independently while staying highly engaged with the remote team.


Qualifications



  • Minimum 2 years of hands-on experience in provider credentialing and enrollment.


Required Skills



  • Strong understanding of documents required for individual and group enrollments.
  • Proven experience handling payer communication and follow-ups.
  • Comfortable managing multiple applications with accuracy and deadlines.
  • Excellent organization and time-management skills.
  • Strong written and verbal communication skills for remote work.

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Provider Enrolment Specialist • Mumbai, IN

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