08 Oct
|
Wonder Worth Solutions
|
Vellore
08 Oct
Wonder Worth Solutions
Vellore
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.
What You Will Own – Your Responsibilities
• Prospect 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
The Wws Perks
• Full Training — L
📌 – Senior Contracting Analyst Vellore
🏢 Wonder Worth Solutions
📍 Vellore