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 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
.
What You'll Be Doi
- ngManage end-to-end provider credentialing and insurance enrollment for individual and group provider
- s.Submit and track enrollment applications across all US state
- s.File Letters of Interest (LOIs) and follow up with insurance payers via calls and email
- s.Work with private insurance, Medicare, Medicaid, Medicaid MCOs, and Medicare Advantage plan
- 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
- ntsMinimum 2 years of hands-on experience in provider credentialing and enrollme
- nt.Strong understanding of documents required for individual and group enrollmen
- ts.Proven experience handling payer communication and follow-u
- ps.Comfortable managing multiple applications with accuracy and deadlin
- es.Excellent organization and time-management skil
- ls.Strong written and verbal communication skills for remote wo
rk.
