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.