About the Company We are hiring experienced Credentialing & Enrollment Managers / Team Leads who can handle the entire process managing a team of Credentialing Specialists, along with 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.
About the Role Manage end-to-end provider credentialing and insurance enrollment for individual and group providers.
Responsibilities - Submit and track enrollment applications across all US states.
- Team Leadership: Guiding a team of credentialing specialists, tracking turnaround times (TAT), and solving complex insurance denial escalations.
- System Knowledge: Expert-level familiarity with PECOS, CAQH, and specific Revenue Cycle Management (RCM) tools.
- Attention to Detail: Tracking expiration dates for numerous documents simultaneously without error.
- File Letters of Interest (LOIs) and follow up with insurance payers via calls and emails.
- Work with private insurance, Medicare, Medicaid, Medicaid MCOs, and Medicare Advantage plans.
- Maintain and update provider profiles on portals like:
- CAQH
- PECOS
- Availity
- Navinet
- NPPES
- Apply for and renew provider licenses such as:
- Qualified licenses
- DEA
- Controlled Substance licenses
- Ensure provider information and documents are always accurate and up to date.
- Regularly update clients on application status and ensure providers remain active with payers.
- Work independently while staying highly engaged with the remote team.
Qualifications - Minimum 6-8 years of hands-on experience in provider credentialing and enrollment.
- At least 2 years of experience as a Credentialing Manager / Team Lead Required Skills - Strong understanding of documents required for individual and group enrollments.
- Proven experience handling payer communication and follow-ups.
- Comfortable managing multiple applications with accuracy and deadlines.
- Excellent organization and time-management skills.
- Strong written and verbal communication skills for remote work.
Apply on Kit Job: kitjob.in/job/4mv8ac
📌 Credentialing Manager (Siaha)
🏢 Bikham
📍 Siaha
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