Sutherland Hiring For Senior Provider Enrollment/Credentialing

1 - 3 years

3 - 4 Lacs

Posted:18 hours ago| Platform: Naukri logo

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Work Mode

Work from Office

Job Type

Full Time

Job Description

The Provider Enrollment Specialist is responsible for the timely and accurate enrollment of healthcare providers with government and commercial insurance payers. This role ensures that providers are enrolled correctly and efficiently so that they can bill and receive reimbursement for services renders. The Specialist works closely with the Hospital system and payer organizations to facilitate smooth onboarding and maintain compliance with payer requirements.

Duties and Responsibilities

  • Prepare, submit, and track provider applications for enrollment and credentialing with Medicare, Medicaid, and commercial payers.
  • Assist with creating and maintenance of CAQH profiles.
  • Monitor and follow up on application statuses to ensure timely processing.
  • Communicate with insurance companies and internal stakeholders to resolve issues related to enrollment.
  • Maintain confidentiality and professionalism while performing work tasks.
  • Track and Maintain work production daily.

Qualifications

  • 1-3 years of experience in provider enrollment, credentialing, or medical billing strongly preferred.
  • Knowledge of CMS, Medicaid, and commercial payer enrollment processes.
  • Familiarity with CAQH, NPPES, PECOS, and payer portals.
  • Strong organizational skills and attention to detail
  • Excellent written and verbal communication skills.
  • Ability to manage multiple tasks and meet deadlines.
  • Proficiency in Microsoft Office (Excel, Word, Outlook, Sharepoint) and experience navigating web-based applications
  • Ability to work positively and productively in a fast-paced environment.
  • Accurate typing of 40 WPM is required.
  • Graduation mandatory.
  • Immediate joiners
  • Complete night shifts

Perks and Benefits:

  • Saturday and Sunday Fixed Week Offs.
  • 2 Way Cab Facility (within 25 Km Radius)

Walk-In details:

Date: 13-Oct-2025 - 15-Oct-2025

Timing: 12.00AM - 3.00PM

Address: 7th Floor, Divyasree Tech Ridge Building, Lanco hills, Khajaguda, Manikonda

HR Hari Kishore

Hari Kishore Goud

Eddga.harikishoregoud@sutherlandglobal.com

Note:

"Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to TAHelpdesk@Sutherlandglobal.com

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