Client Partner - Provider Enrollment

Job Description

• Manage the end-to-end provider enrollment process, ensuring healthcare providers are properly credentialed and enrolled with insurance networks

• Conduct thorough reviews of provider documentation, ensuring compliance with credentialing requirements and proactively resolving any discrepancies

• Serve as a liaison between healthcare providers and insurance companies, addressing enrollment-related inquiries and facilitating timely resolution

• Maintain accurate and up-to-date provider information in databases, and collaborate with internal teams to streamline the enrollment and billing processes.

Job Requirements

• Fluent verbal communication for outbound calling

• Strong knowledge of the entire range of Payer processes

• Basic working knowledge of computers

• Knowledge of Healthcare terminology will be an advantage

• Willingness to work continuously in night shifts

Qualifications

• 1-4 Years experience in Provider Enrollment processes for US healthcare customers

• Familiarity with popular medical billing software packages will be considered a plus. We will provide training on any client-specific software to be used.