Job Title: Provider Enrollment Specialist

We are hiring experienced Credentialing & Enrollment Specialists who can handle the entire process of 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.
• 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:
  • Professional 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 2 years of hands-on experience in provider credentialing and enrollment.

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.