Job Description: Provider Enrollment Follow-up Specialist (PE – Follow-up)  Role Title: Provider Enrollment Follow-up Specialist<br />Department: Provider Operations<br />Location: Chennai – Work From Office (WFO only)<br />Experience Required: 1–3 years in healthcare voice processes (Provider Enrollment preferred, but AR/RCM/Healthcare Voice also acceptable)<br />Mission of the Role<br />To ensure timely and accurate follow-up with payers for provider enrollment applications by using professional phone and email communication, resolving pending issues, and supporting the enrollment lifecycle through high-quality interactions.<br />Key Responsibilities<br />1. Payer Follow-ups & Communication<br />● Make outbound calls and send professional emails to payers, enrollment departments,<br />and provider relations teams to check the status of submitted applications.<br />● Document all communication accurately and update status trackers/CRM systems in real<br />time.<br />● Maintain strong phone/email etiquette to represent the provider and the organization<br />professionally.<br />2. Enrollment Status Management<br />● Track all submitted applications—new enrollment, revalidation, demographic updates,<br />and terminations.<br />● Identify missing information, additional documentation requirements, or payer-specific<br />clarifications.<br />● Escalate urgent or stuck applications to the Senior Analyst/Team Lead.<br />3. Issue Identification & Resolution<br />● Research and troubleshoot issues such as incorrect provider data, incomplete<br />documentation, NPI/taxonomy mismatches, or portal discrepancies.<br />● Coordinate with internal teams (Enrollment, Credentialing, Data Management) to resolve<br />blockers and re-submit required information.<br />● Ensure timely follow-up cycles to avoid processing delays.<br />4. Compliance & Documentation<br />● Adhere to payer-specific guidelines, call handling standards, and documentation norms.<br />● Ensure all communication, follow-ups, and payer responses are captured accurately for<br />audit and compliance purposes.<br />● Follow HIPAA and internal confidentiality standards.<br /><br />5. Workflow & Productivity Management<br />● Work efficiently through daily call queues and email follow-up tasks.<br />● Prioritize escalations and time-sensitive cases based on SLO/TAT expectations.<br />● Participate in huddles, training sessions, and process updates as required.<br /><br />Required Qualifications<br />● Experience in Provider Enrollment OR Healthcare Voice Processes<br />such as AR calling, RCM calling, prior authorization, or patient services.<br />● Strong phone etiquette, email writing skills, and clarity in communication.<br />● Ability to handle payer conversations confidently and professionally.<br />● Basic understanding of healthcare provider types, NPI, CAQH, and payer enrollment<br />workflows (preferred but not mandatory).<br />● Comfortable working in a fast-paced, metric-driven operational environment.<br /><br />Preferred Skills<br />● Experience using payer portals, CRM tools, or workflow management systems.<br />● Exposure to provide credentialing or healthcare operations.<br />● Ability to identify issues and communicate them effectively to senior team members.<br /><br />Work Environment & Expectations<br />● Work From Office – Hyderabad (mandatory).<br />● Requires strong discipline in documentation, follow-up cycles, and adherence to<br />communication standards.<br />● Willingness to work aligned to U.S. payer hours as required.--<h3>experience</h3>4

Role: Provider Enrollment Follow-up Specialist (Analyst / Senior Analyst) - Permanent Position.Department: Provider OperationsLocation: Chennai (Work from Office)Experience: 1–6 years in healthcare voice processes (Provider Enrollment preferred; AR/RCM/Healthcare Voice experience acceptable)Compensation: Up to 9 LPAShift Timings: 5:30 PM – 2:30 AM or 6:30 PM – 3:30 AMWork Mode: 5 days from office (Note: WFH available until March; Cab facility provided) Mission of the RoleTo ensure timely and accurate follow-up with payers for provider enrollment applications, resolve pending issues, and support the enrollment lifecycle through professional communication. Key Responsibilities - Payer Follow-ups: Conduct outbound calls and send professional emails to payers to track application status.- Status Management: Manage new enrollments, revalidations, demographic updates, and terminations.- Issue Resolution: Troubleshoot data discrepancies (NPI/Taxonomy) and coordinate with internal teams to resolve blockers.- Compliance: Adhere to HIPAA, payer-specific guidelines, and internal documentation standards.- Productivity: Manage daily call queues and prioritize tasks based on SLO/TAT expectations. Required Qualifications & Skills - Experience in Provider Enrollment or Healthcare Voice Processes (AR, RCM, or Prior Authorization).- Strong phone etiquette and professional email writing skills.- Understanding of provider types, NPI, CAQH, and enrollment workflows is preferred.- Familiarity with major payers (Medicare, Medicaid, UHC, Aetna, Cigna, BCBS) and payer portals. Interview Process - Two rounds of virtual interviews.  <h3>experience</h3>8