Job Description: Provider Enrollment Follow-up Specialist (PE – Follow-up) Role Title: Provider Enrollment Follow-up SpecialistDepartment: Provider OperationsLocation: Hyderabad – Work From Office (WFO only)Experience Required: 1–3 years in healthcare voice processes (Provider Enrollment preferred, but AR/RCM/Healthcare Voice also acceptable)Mission of the RoleTo ensure timely and accurate follow-up with payers for provider enrollment applications by usin
Job Description: Provider Enrollment Follow-up Specialist (PE – Follow-up) Role Title: Provider Enrollment Follow-up SpecialistDepartment: Provider OperationsLocation: Hyderabad – Work From Office (WFO only)Experience Required: 1–3 years in healthcare voice processes (Provider Enrollment preferred, but AR/RCM/Healthcare Voice also acceptable)Mission of the RoleTo ensure timely and accurate follow-up with payers for provider enrollment applications by usin
Key Responsibilities1. Payer Follow-ups (Mandatory PE Follow-up Expertise)● Conduct timely follow-ups with payers via phone and email to obtain status updates on submitted enrollment applications. ● Manage follow-up workflows for new enrollments, revalidations, demographic updates, terminations, and group affiliations. ● Understand payer-specific processes, documentation needs, and follow-up cycles. 2. Communication & Professional Inte
Key Responsibilities1. Payer Follow-ups (Mandatory PE Follow-up Expertise)● Conduct timely follow-ups with payers via phone and email to obtain status updates on submitted enrollment applications. ● Manage follow-up workflows for new enrollments, revalidations, demographic updates, terminations, and group affiliations. ● Understand payer-specific processes, documentation needs, and follow-up cycles. 2. Communication & Professional Inte
The primary goal of this position is to manage the complex administrative and compliance-driven processes required for healthcare professionals to practice and for the organization to receive payment.Provider Credentialing (Verification and Compliance)Credentialing is the process of verifying a healthcare provider's qualifications to ensure they meet professional and regulatory standards. It's the quality control step.experience5
The primary goal of this position is to manage the complex administrative and compliance-driven processes required for healthcare professionals to practice and for the organization to receive payment.Provider Credentialing (Verification and Compliance)Credentialing is the process of verifying a healthcare provider's qualifications to ensure they meet professional and regulatory standards. It's the quality control step.experience5
1. End-to-End Enrollment Management● Manage the full-cycle payer enrollment and revalidation process for healthcare providers(Physicians, NPs, PAs, RNs, CRNAs, etc.).● Prepare, review, and submit enrollment applications across Commercial and/or Medicaidpayers.● Track application progress, follow up with payers, and maintain accurate, up-to-datedocumentation.2. Compliance & Regulatory Adherence● Ensure compliance with federal, state, and payer-specific poli
1. End-to-End Enrollment Management● Manage the full-cycle payer enrollment and revalidation process for healthcare providers(Physicians, NPs, PAs, RNs, CRNAs, etc.).● Prepare, review, and submit enrollment applications across Commercial and/or Medicaidpayers.● Track application progress, follow up with payers, and maintain accurate, up-to-datedocumentation.2. Compliance & Regulatory Adherence● Ensure compliance with federal, state, and payer-specific poli
Mission of the RoleTo function as the senior-most expert in payer enrollment, providing deep domain leadership, resolving complex escalations, driving process improvements, and enabling the overall team through knowledge development, training, and cross-functional collaboration.Core Responsibilities1. Domain Leadership & Expertise● Serve as the primary subject matter expert for all payer enrollment processes—Medicare (PECOS), Medicaid (state-specific), and
Mission of the RoleTo function as the senior-most expert in payer enrollment, providing deep domain leadership, resolving complex escalations, driving process improvements, and enabling the overall team through knowledge development, training, and cross-functional collaboration.Core Responsibilities1. Domain Leadership & Expertise● Serve as the primary subject matter expert for all payer enrollment processes—Medicare (PECOS), Medicaid (state-specific), and
The Credentialing Specialist is responsible for coordinating, processing, and tracking healthcare provider licenses (MDs, DOs, NPs, RNs, etc.) across multiple U.S. states, including through licensure compacts (IMLC/NLC). This role ensures timely, accurate, and compliant onboarding and re-credentialing of providers in accordance with regulatory and organizational standardsKey Responsibilities:1. State Licensing CoordinationPrepare and submit new license app
The Credentialing Specialist is responsible for coordinating, processing, and tracking healthcare provider licenses (MDs, DOs, NPs, RNs, etc.) across multiple U.S. states, including through licensure compacts (IMLC/NLC). This role ensures timely, accurate, and compliant onboarding and re-credentialing of providers in accordance with regulatory and organizational standardsKey Responsibilities:1. State Licensing CoordinationPrepare and submit new license app