Provider Enrolment Specialist

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.