Experienced Vellore BPS The Role: You are responsible for provider credentialing ensuring providers are enrolled with payers so the revenue cycle can begin. You handle application filing, tracking, and follow-ups until activation with zero drop-offs.
Responsibilities
- Opportunity identification monthly review of insurance panel openings relevant to your providers
- Pre-application analysis gathering provider documents, validating completeness, and confirming regulatory compliance before any application begins
- Application filing completing forms accurately and verifying every detail against payer requirements
- Submission and tracking submitting applications, confirming receipt, and monitoring status until the provider is active
- Provider escalation management resolving document issues, renewals, and urgent requests within 48 hours
For C&C; Standalone clients, you additionally own:
- End-to-end contracting managing the full provider contracting process without RCO handoff
- Relationship closure formally documenting and closing the engagement once credentialing and contracting are complete
Non-Negotiable Metric
- Provider Enrollment Success Rate 90%
- Percentage of submitted applications resulting in active enrollment.
The Fight: What You Will Fight
Administrative paralysis.
A provider stuck in pending cannot bill, cannot serve patients, and eventually loses trust in the process.
The enemy is
- The application sitting in a payer queue with no follow-up
- The document that expired without notice
- The missing update because no one tracked it
On the CCT team: Nothing ages without a documented status and a next action.
Who Thrives Here: Three Traits We Cannot Teach
- Relentless follow-up Pending is not done. You track, follow up, and close.
- Structured under pressure You manage multiple applications without losing control
- Accuracy obsession One wrong detail is not a mistake it s a delay
Qualifications
- Minimum 3 years of experience in analysis or documentation-related roles
- Communication: Ability to coordinate with payers and providers effectively
- Persistence: Solid follow-up mindset no dropped applications
- Documentation: Clear, structured, and audit-ready documentation skills
Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.