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
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
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
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
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
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