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    Job · 13449717

    Sutherland Global Services logo

    Walk-in || Hiring For Provider Enrollment Specialist

    Sutherland Global Services · Hyderabad · onsite · Posted 59d ago

    Undisclosed1–3 yrsfulltimeSourced fromNaukri

    About a minute. You'll make an account on the way through.

    About this role

    Job Summary


    We are looking for a detail-oriented and organized Provider Enrollment Specialist to manage the timely and accurate enrollment of healthcare providers with government and commercial insurance payers. The specialist will be responsible for preparing and submitting enrollment applications, tracking application status, maintaining provider information, and coordinating with healthcare organizations and payer representatives to resolve enrollment-related issues.


    The ideal candidate will have experience in provider enrollment, credentialing, medical billing, or a related healthcare administrative function, along with strong knowledge of payer enrollment processes and provider databases.


    Key Responsibilities

    • Prepare, submit, and track provider enrollment and credentialing applications with Medicare, Medicaid, and commercial insurance payers.
    • Assist with the creation, maintenance, and regular updates of CAQH profiles.
    • Monitor enrollment applications and proactively follow up with payers to ensure timely processing.
    • Communicate with insurance companies, healthcare providers, hospital/system representatives, and internal teams to resolve enrollment issues.
    • Review applications and supporting documentation for completeness and accuracy before submission.
    • Maintain accurate provider enrollment records and documentation in accordance with payer and organizational requirements.
    • Monitor provider enrollment status and identify missing information, discrepancies, or potential delays.
    • Maintain confidentiality and professionalism while handling provider and organizational information.
    • Track and maintain daily work production, productivity, and application status reports.
    • Ensure enrollment activities are completed within established timelines and quality standards.
    • Navigate payer portals and web-based applications to submit, update, and monitor enrollment requests.
    • Support other provider enrollment and credentialing activities as assigned.

    Required Qualifications

    • 1.63 years of experience in provider enrollment, credentialing, medical billing, or a related healthcare administrative role preferred.
    • Working knowledge of CMS, Medicare, Medicaid, and commercial payer enrollment processes.
    • Familiarity with CAQH, NPPES, PECOS, and insurance payer portals.
    • Strong organizational skills with excellent attention to detail.
    • Excellent written and verbal communication skills.
    • Ability to manage multiple applications, priorities, and deadlines simultaneously.
    • Proficiency in Microsoft Excel, Word, Outlook, and SharePoint.
    • Comfortable working with web-based applications and multiple online payer portals.
    • Ability to work independently as well as collaboratively in a fast-paced environment.
    • Strong problem-solving and follow-up skills.
    • Accurate typing speed of 40 WPM is required.
    • Graduation mandatory.


    Work Location: Lanco hills, Manikonda.

    Walk-In details:

    Date: 24-Aug-2026 -27-Aug-2026

    Timing: 12.00PM - 3.00PM

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


    Mention HR Hari Kishore on your resume.


    Hari Kishore Goud

    [email removed]


    Note:

    "Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to [email removed]

    Sourced from naukri

    Skills

    credentialingMedicaidmedicareprovider enrollmentCAQH

    About Sutherland Global Services

    Sutherland Global Services logo

    Sutherland Global Services

    BPO

    17.6k+

    employees

    1986

    40 years old

    Chennai, Tamil Nadu

    India

    ₹3.6L PA avg

    Avg at Sutherland Global Services

    About

    Sutherland is a business process transformation company that rethinks & rebuilds business processes for the digital age.

    Industries

    BPOFacility Management ServicesRecruitment

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