Published 2026-04-22
Provider Enrollment Specialist (Permanent Work-From-Home) for US Healthcare in EST hours 9am-6pm Mon-Fri.
** A minimum of 1 year of experience in provider credentialing and enrollment please! **
About the Role: We are seeking experienced Provider Enrollment Specialists with a strong background in end-to-end Provider Enrollments, Insurance Credentialing, Provider Contracting, and Re Credentialing. This role is ideal for professionals who thrive in a remote work environment and are committed to maintaining clear communication with our credentialing team and clients. Attention to detail and the ability to flawlessly complete tasks within set deadlines are essential for this position.
Key Responsibilities:
Manage the full spectrum of provider credentialing and enrollment, including filing Letters of Interest and completing enrollment applications for all states.
Engage with payers via calls and emails to ensure the successful processing of both individual and group applications.
Demonstrate expertise in submitting required documentation for private commercial payors, Medicare, Medicaid, Medicaid MCO, and Medicare supplement/replacement plans.
Maintain regular communication with clients, providing updates and ensuring the active status of providers with payers.
Handle end-to-end processes for creating and maintaining provider details on platforms such as CAQH, PECOS, Availity, Navinet, NPPES, and other provider portals.
Manage the application and renewal process for all provider licenses, including Professional, DEA, and Controlled Substance licenses.
Ensure continuous updating and maintenance of client and application data, readily available for client requests.
Requirements: A minimum of 1 year of experience in provider credentialing and enrollment. Strong organizational skills and the ability to work independently in a remote setting.
Proficiency in using credentialing portals and managing the associated documentation.
Exceptional communication skills to effectively engage with both clients and payers.
Mandatory Requirements:
Has a fast dedicated laptop/PC I5+, 8 GB Ram, Windows 10/11 (licensed and activated), MS Office 2013 + (working copy).
Quiet home office with no distractions
Have at least 1 year of experience working from home successfully during EST hours
Minimum dedicated fast internet 50 MB+ (must be fiber or cable into your home)
9am-6pm EST Mon-Fri shift.
Compensation: Monthly Salary
A Provider Enrollment Specialist is responsible for enrolling healthcare providers in insurance programs, maintaining accurate records, and ensuring compliance with regulations. They work closely with providers, insurance companies, and patients to resolve issues and improve the enrollment process.
Typically, a Provider Enrollment Specialist requires a bachelor's degree in a related field like healthcare administration, business, or a related certification like CPC or CMC. Strong analytical, communication, and problem-solving skills are also essential.
The average salary for a Provider Enrollment Specialist in Vizianagaram, Andhra Pradesh can range from ₹300,000 to ₹600,000 per year, depending on experience, certifications, and industry sector. Experienced professionals can earn higher salaries, especially in specialized fields like medical billing or healthcare consulting.
With experience, Provider Enrollment Specialists can move into senior roles like Team Lead, Operations Manager, or Compliance Officer. They can also transition into related fields like healthcare consulting, medical billing, or insurance underwriting. Professional certifications and continuous learning can enhance career prospects.
Key skills for a Provider Enrollment Specialist include strong analytical and problem-solving skills, excellent communication and interpersonal skills, attention to detail, and ability to work in a fast-paced environment. Familiarity with healthcare regulations, insurance programs, and electronic health records is also essential.
