Walk-in | Provider Enrollment Specialist

Sutherland; Chennai; On-site; INR 360,000 - 600,000; Full time

Job summary

Sutherland seeks a Provider Enrollment Specialist to manage enrollment and credentialing for US healthcare payers. You will prepare and submit applications, maintain CAQH profiles, and track statuses to ensure timely processing.

Ideal candidates have 1–3 years in provider enrollment or medical billing, knowledge of Medicare/Medicaid, and proficiency with payer portals and MS Office. This role demands attention to detail and the ability to work in a fast-paced environment.

Qualifications

• 1-3 years of experience in Provider Enrollment, Provider Credentialing, Medical Billing, or US Healthcare operations strongly preferred.
• Knowledge of US Healthcare Provider Enrollment processes.
• Working knowledge of Medicare, Medicaid, CMS, and commercial payer enrollment requirements.
• Familiarity with CAQH, NPPES, PECOS, and insurance payer portals.
• Strong attention to detail and excellent organizational skills.
• Good written and verbal communication skills.
• Ability to manage multiple applications, priorities, and deadlines.
• Proficiency in Microsoft Excel, Word, Outlook, and SharePoint.
• Comfortable working with web-based applications and online portals.
• Ability to work independently and collaboratively in a fast-paced environment.
• Typing speed of 40 WPM with good accuracy is required.

Responsibilities

• Prepare, submit, and track provider enrollment and credentialing applications with Medicare, Medicaid, and commercial payers.
• Assist with creating, updating, and maintaining CAQH profiles.
• Monitor enrollment applications and follow up with payers to ensure timely processing.
• Communicate with insurance companies, healthcare providers, hospital systems, and internal stakeholders to resolve enrollment-related issues.
• Review applications and provider information for accuracy and completeness.
• Maintain accurate documentation and enrollment records.
• Ensure provider information is updated according to payer and regulatory requirements.
• Maintain confidentiality and professionalism while handling provider and organizational information.
• Track and maintain daily work production and meet assigned productivity and quality targets.
• Navigate payer portals and other web-based applications efficiently.
• Perform additional provider enrollment and credentialing activities as assigned.

Skills

Provider enrollment

Provider credentialing

Medical billing

US healthcare

CAQH

Payer portals

Attention to detail

Organizational skills

Communication skills

MS Excel

MS Word

Outlook

SharePoint

Typing 40 WPM

Tools

CAQH

NPPES

PECOS

Web portals

Job description

Job Summary

We are looking for a Provider Enrollment Specialist with experience in US Healthcare Provider Enrollment, Credentialing, or Medical Billing. The successful candidate will be responsible for the timely and accurate enrollment of healthcare providers with Medicare, Medicaid, and commercial insurance payers.

The role involves preparing and submitting provider applications, maintaining provider information, tracking enrollment status, coordinating with payers and internal stakeholders, and ensuring compliance with payer requirements.

Key Responsibilities

• Prepare, submit, and track provider enrollment and credentialing applications with Medicare, Medicaid, and commercial insurance payers.
• Assist with creating, updating, and maintaining CAQH profiles.
• Monitor enrollment applications and follow up with payers to ensure timely processing.
• Communicate with insurance companies, healthcare providers, hospital systems, and internal stakeholders to resolve enrollment-related issues.
• Review applications and provider information for accuracy and completeness.
• Maintain accurate documentation and enrollment records.
• Ensure provider information is updated according to payer and regulatory requirements.
• Maintain confidentiality and professionalism while handling provider and organizational information.
• Track and maintain daily work production and meet assigned productivity and quality targets.
• Navigate payer portals and other web-based applications efficiently.
• Perform additional provider enrollment and credentialing activities as assigned.

Required Skills & Qualifications

• 1-3 years of experience in Provider Enrollment, Provider Credentialing, Medical Billing, or US Healthcare operations strongly preferred.
• Knowledge of US Healthcare Provider Enrollment processes.
• Working knowledge of Medicare, Medicaid, CMS, and commercial payer enrollment requirements.
• Familiarity with CAQH, NPPES, PECOS, and insurance payer portals.
• Strong attention to detail and excellent organizational skills.
• Good written and verbal communication skills.
• Ability to manage multiple applications, priorities, and deadlines.
• Proficiency in Microsoft Excel, Word, Outlook, and SharePoint.
• Comfortable working with web-based applications and online portals.
• Ability to work independently and collaboratively in a fast-paced environment.
• Typing speed of 40 WPM with good accuracy is required.