Provider Enrollment Specialist / Credentialing Specialist

Istar Business Solutions; Chennai; In loco; INR 350.000 - 550.000; Tempo pieno

Vantaggi offerti da questo lavoro

Two-way cab facility

Descrizione del lavoro

Istar Business Solutions is seeking an experienced Provider Enrollment Specialist in Chennai (Guindy) for night shift, WFO. The role focuses on enrollment, credentialing, CAQH maintenance, and licensing processes.

Candidates should have 1-5 years of relevant experience and be adept with NPI, PECOS, and payer portals. Two-way cab facility provided; location is Chennai.

Competenze

• Strong hands-on experience in Provider Enrollment and Credentialing.
• Expertise in CAQH ProView and CAQH profile maintenance.
• Experience handling multiple commercial payers.
• Knowledge of Medicare and Medicaid enrollment processes.
• Experience in provider licensing and license renewals.
• Strong understanding of NPI, PECOS, and payer portals.

Mansioni

• Manage end-to-end provider enrollment and credentialing processes.
• Maintain and update CAQH profiles, including initial registration, re-attestation, and profile maintenance.
• Handle enrollment applications with multiple commercial insurance payers.
• Manage provider licensing Enrollment, renewals, and license verification.

Conoscenze

Provider Enrollment

CAQH

Commercial Payers

Medicare

Medicaid

Licensing

Credentialing

Descrizione del lavoro

We are looking for an experienced Provider Enrollment Specialist with strong expertise in provider enrollment, credentialing, CAQH management, and payer enrollment processes. The candidate should have hands-on experience managing multiple commercial payers, Medicare, and Medicaid enrollments, along with provider licensing Enrollment and revalidation activities.

Key Skills: Provider Enrollment, CAQH, Commercial Payers, Medicare, Medicaid, Licensing, Credentialing

Role & responsibilities

Manage end-to-end provider enrollment and credentialing processes.

Maintain and update CAQH profiles, including initial registration, re-attestation, and profile maintenance.

Handle enrollment applications with multiple commercial insurance payers.

Manage provider licensing Enrollment, renewals, and license verification.

Preferred candidate profile

• Strong hands-on experience in Provider Enrollment and Credentialing.
• Expertise in CAQH ProView and CAQH profile maintenance.
• Experience handling multiple commercial payers.
• Knowledge of Medicare and Medicaid enrollment processes.
• Experience in provider licensing and license renewals.
• Strong understanding of NPI, PECOS, and payer portals.

Exp 1-5 yrs of relevant experience

Flexible to work in Night shift & WFO

Shift timing ; 5.30PM - 2.30 AM

Cab Facility : Two- way cab provided

Location : Chennai (Guindy)