Posted:4 weeks ago| Platform:
Work from Office
Full Time
Job Description The Provider Enrollment is responsible for the timely and accurate enrollment of healthcare providers with government and commercial insurance payers. This role ensures that providers are enrolled correctly and efficiently so that they can bill and receive reimbursement for services renders. The Specialist works closely with the Hospital system and payer organizations to facilitate smooth onboarding and maintain compliance with payer requirements. Role & responsibilities Prepare, submit, and track provider applications for enrollment and credentialing with Medicare, Medicaid, and commercial payers. Assist with creating and maintenance of CAQH profiles. Monitor and follow up on application statuses to ensure timely processing. Communicate with insurance companies and internal stakeholders to resolve issues related to enrollment. Maintain confidentiality and professionalism while performing work tasks. Track and Maintain work production daily. Preferred candidate profile 1-3 years of experience in provider enrollment, credentialing, or medical billing strongly preferred. Knowledge of CMS, Medicaid, and commercial payer enrollment processes. Familiarity with CAQH, NPPES, PECOS, and payer portals. Strong organizational skills and attention to detail Excellent written and verbal communication skills. Ability to manage multiple tasks and meet deadlines. Proficiency in Microsoft Office (Excel, Word, Outlook, Sharepoint) and experience navigating web-based applications Ability to work positively and productively in a fast-paced environment. Accurate typing of 40 WPM is required. Perks and Benefits: Night Shift Allowance Fixed week Offs (Sat-Sun) 2way cab facility (within 25 KM Radius) Incentives plan Walkin Details: Date: 2-May-2025- 25-May-2025 Timings: 11AM to 4PM Contact Person: HR Aishwarya/ 9032212019 Please share your resumes on the below mentioned Mail id: Pyaram.Aishwarya@sutherlandglobal.com Mention HR Aishwarya on your resume Venue: 7th Floor, Divyasree building, Lanco hills, Khajaguda, Manikonda.
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