Job Description
Responsibilities
Client Onboarding
- Manage the complete onboarding process for new healthcare providers and practices.
- Ensure all required onboarding documents and information are collected accurately and on time.
- Conduct onboarding calls to explain the credentialing and provider enrollment process, timelines, and client responsibilities.
Client Relationship Management
- Act as the primary point of contact for assigned clients throughout the credentialing journey.
- Build strong relationships by providing exceptional customer service and maintaining regular communication.
- Keep clients informed about the progress of their applications through proactive follow-ups and status updates.
- Ensure every client clearly understands the current stage of their credentialing and enrollment process.
Provider Enrollment Support
- Guide providers in creating and accessing various payer and industry portals required for enrollment, including but not limited to:
- CAQH
- NPPES (NPI)
- PECOS
- Availity
- One Healthcare ID (Optum)
- Medicare & Medicaid Portals
- State Medicaid Portals
- Commercial Insurance Portals
- Assist clients in resolving login issues, password resets, multi-factor authentication, and account access problems.
Client Communication
- Schedule and conduct regular client meetings and progress calls.
- Respond promptly to client emails, calls, and messages.
- Ensure all client communications are documented accurately within the CRM.
Escalation Management
- Handle client concerns and escalations professionally and efficiently.
- Coordinate with Operations, Credentialing Specialists, and Leadership to resolve issues promptly.
- Maintain a positive client experience even during challenging situations.
Internal Coordination
- Work closely with Credentialing Specialists, Enrollment Teams, Licensing Teams, and Sales to ensure smooth workflow.
- Coordinate with internal teams to gather updates and communicate them effectively to clients.
Documentation & Reporting
- Maintain accurate client records, onboarding documentation, and communication history.
- Track onboarding milestones and client satisfaction metrics.
- Prepare reports on onboarding progress, pending actions, and escalated cases.
Process Improvement
- Identify opportunities to improve onboarding workflows and client communication.
- Contribute ideas that enhance operational efficiency and overall client satisfaction.
Qualifications
- Bachelor’s degree in Healthcare Administration, Business Administration, or a related field preferred.
- Minimum 1 years of experience in US Healthcare Credentialing, Provider Enrollment, Medical Billing, RCM, or Client Success.
- Strong understanding of Commercial and Government payer enrollment processes.
- Experience working with provider portals such as CAQH, PECOS, NPPES, Availity, and insurance payer portals.
- Excellent verbal and written English communication skills.
- Strong organizational and time management abilities.
- Ability to manage multiple client accounts simultaneously.
- Exceptional problem-solving and conflict-resolution skills.
- Customer-first mindset with a proactive approach.
- Experience using CRM systems and Microsoft Office applications.
Preferred Skills
- Experience working with US healthcare providers.
- Knowledge of Medicare, Medicaid, and Commercial Insurance credentialing.
- Experience handling client escalations.
- Ability to build long-term client relationships.
- Strong attention to detail.
- Comfortable working independently in a remote environment
Are you interested in this position?
Apply by clicking on the “Apply Now” button below!
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