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    Job · 15304999

    Sutherland Global Services logo

    Walk-in || Hiring For Provider Enrollment Specialist

    Sutherland Global Services · Hyderabad · onsite · Posted 50d ago

    Undisclosed1–3 yrsfulltimeSourced fromNaukri

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

    About this role

    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

    • 1.6-3 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: 03-Sep-2026 -05-Sep-2026

    Timing: 12.00PM - 3.00PM


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


    Mention HR Nikhil on your resume.


    Nikhil- [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

    credentialingRevenue Cycle Managementprovider enrollmentUS Healthcare

    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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