Provider Enrollment Follow-up Specialist Job at Randstad (Chennai)

Outbound Enrollment Specialist

As an Outbound Enrollment Representative, you will be responsible for making out...

Location

United States

Salary:

40000.00 - 50000.00 USD / Year

Pomelo Care

Expiration Date

Until further notice

Requirements

Ability to work Monday-Friday, 8:30am - 5:00pm CT
Strong, empathetic communication skills
Motivated by goals, metrics, and monthly bonus program
Passionate about changing the current landscape of healthcare
Strong organizational and time-management skills
Ability to work independently and as part of a team
Willing to work occasional overtime hours
Are internet-connected, able to work remotely

Job Responsibility

Conduct high volume outbound calls to patients to provide information and education about Pomelo Care services and resources
Achieve member enrollment goals as driven by company KPIs
Support patients by answering their questions, addressing their concerns, and providing guidance on how Pomelo can support their needs
Document all interactions and maintain timely, accurate records of patient outreach activities
Collaborate internally and externally with healthcare providers, community organizations, and other stakeholders to ensure patients receive appropriate care and services
Work with families to schedule appointments and follow-up care as needed
Participate in training and development opportunities to stay current on healthcare trends and regulations
Manage inbound calls from potential patients

What we offer

Competitive healthcare benefits
Generous vacation policy
Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship)
Uncapped performance bonus paid out monthly

Fulltime

Bilingual Outbound Enrollment Specialist

As an Outbound Enrollment Representative, you will be responsible for making out...

Location

United States

Salary:

45000.00 - 55000.00 USD / Year

Pomelo Care

Expiration Date

Until further notice

Requirements

Ability to work Monday-Friday, 8:30am - 5:00pm CT
Fluent in Spanish and English
Strong, empathetic communication skills
Motivated by goals, metrics, and monthly bonus program
Passionate about changing the current landscape of healthcare
Strong organizational and time-management skills
Ability to work independently and as part of a team
Willing to work occasional overtime hours
Are internet-connected, able to work remotely

Job Responsibility

Conduct high volume outbound calls to patients to provide information and education about Pomelo Care services and resources
Achieve member enrollment goals as driven by company KPIs
Support patients by answering their questions, addressing their concerns, and providing guidance on how Pomelo can support their needs
Document all interactions and maintain timely, accurate records of patient outreach activities
Collaborate internally and externally with healthcare providers, community organizations, and other stakeholders to ensure patients receive appropriate care and services
Work with families to schedule appointments and follow-up care as needed
Participate in training and development opportunities to stay current on healthcare trends and regulations
Manage inbound calls from potential patients

What we offer

Competitive healthcare benefits
Generous vacation policy
Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship)
Uncapped performance bonus paid out monthly

Fulltime

New

Provider Enrollment Follow-up Specialist

To ensure timely and accurate follow-up with payers for provider enrollment appl...

Location

India , Chennai

Salary:

Not provided

Randstad

Expiration Date

May 04, 2026

Requirements

Experience in Provider Enrollment OR Healthcare Voice Processes such as AR calling, RCM calling, prior authorization, or patient services
Strong phone etiquette, email writing skills, and clarity in communication
Ability to handle payer conversations confidently and professionally
Basic understanding of healthcare provider types, NPI, CAQH, and payer enrollment workflows (preferred but not mandatory)
Comfortable working in a fast-paced, metric-driven operational environment

Job Responsibility

Make outbound calls and send professional emails to payers, enrollment departments, and provider relations teams to check the status of submitted applications
Document all communication accurately and update status trackers/CRM systems in real time
Maintain strong phone/email etiquette to represent the provider and the organization professionally
Track all submitted applications—new enrollment, revalidation, demographic updates, and terminations
Identify missing information, additional documentation requirements, or payer-specific clarifications
Escalate urgent or stuck applications to the Senior Analyst/Team Lead
Research and troubleshoot issues such as incorrect provider data, incomplete documentation, NPI/taxonomy mismatches, or portal discrepancies
Coordinate with internal teams (Enrollment, Credentialing, Data Management) to resolve blockers and re-submit required information
Ensure timely follow-up cycles to avoid processing delays
Adhere to payer-specific guidelines, call handling standards, and documentation norms

Fulltime

New

Provider Enrollment Follow-up Specialist

To ensure timely and accurate follow-up with payers for provider enrollment appl...

Location

India , Chennai

Salary:

Not provided

Randstad

Expiration Date

May 09, 2026

Requirements

Experience in Provider Enrollment or Healthcare Voice Processes (AR, RCM, or Prior Authorization)
Strong phone etiquette and professional email writing skills
Understanding of provider types, NPI, CAQH, and enrollment workflows is preferred
Familiarity with major payers (Medicare, Medicaid, UHC, Aetna, Cigna, BCBS) and payer portals

Job Responsibility

Payer Follow-ups: Conduct outbound calls and send professional emails to payers to track application status
Status Management: Manage new enrollments, revalidations, demographic updates, and terminations
Issue Resolution: Troubleshoot data discrepancies (NPI/Taxonomy) and coordinate with internal teams to resolve blockers
Compliance: Adhere to HIPAA, payer-specific guidelines, and internal documentation standards
Productivity: Manage daily call queues and prioritize tasks based on SLO/TAT expectations

What we offer

Cab facility provided

Fulltime

Provider Enrollment Specialist

The Provider Enrollment Specialist ensures seamless plan enrollment (initial and...

Location

United States , St. Louis

Salary:

21.00 - 27.00 USD / Hour

Anders Minkler Huber & Helm LLP

Expiration Date

Until further notice

Requirements

Associate degree, preferred
High School diploma or GED required
3-5 years of experience in payer enrollment
Strong organizational and time management skills, with the ability to manage multiple tasks and meet deadlines
Excellent attention to detail and accuracy in data entry and record-keeping
Effective communication skills, both written and verbal, with the ability to interact professionally with providers, staff and external entities
Ability to work independently and as part of a team, demonstrating flexibility and adaptability
Strong problem-solving skills, with the ability to identify and resolve issues promptly and effectively
Knowledge of healthcare regulations and compliance requirements
Familiarity with NCQA, URAC, and CMS standards

Job Responsibility

Process and submit initial provider applications, revalidations, and renewal applications in compliance with NCQA, URAC, and CMS accreditation standards
Perform thorough and accurate data entry and verification of provider information into credentialing databases
Conduct timely follow-up on missing or incomplete information with the provider, client, or team lead responsible for a provider file to ensure prompt and efficient provider enrollment
Assist in the preparation and submission of required documentation for provider enrollment and credentialing to include delegation rosters
Coordinate with internal staff and external entities to resolve issues related to provider enrollment and credentialing
Monitor and track the status of provider applications, payer directories, conducting regular follow-up with health plans until verification of completion is received from each payor
Support the enrollment and delegation team with various tasks as needed

What we offer

Work Flex program which gives you the opportunity to work at our Chesterfield office, our Downtown St. Louis office, remotely, adopt a hybrid approach or even switch between these options as you prefer
Professional development opportunities
Benefits that directly impact mental, physical and financial wellness

Fulltime

Credentialing Enrollment Specialist

Location

United States , Charlotte

Salary:

24.10 - 36.15 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

High school diploma or GED required
Bachelor's degree preferred
Three years' experience in a role that performs or supports provider credentialing, privileging, and/or enrollment in either a hospital, managed care plan or CMS environment
Knowledge of and experience with personal computers, Windows and Microsoft applications, copier and fax machines and multi-line telephone
Experience in typing, word processing, and business correspondence
Certification through National Association of Medical Staff Services (NAMSS) as Certified Provider Credential Specialist (CPCS) or Professional Medical Services Management (CPMSM) preferred

Job Responsibility

Performs primary source verifications of documentation required for managed care credentialing and re-credentialing of MGD providers
Provides issue resolution and support regarding billing issues as they relate to provider enrollment and credentialing for MGD providers and the Central Billing Office
Enters provider data in the ECHO database according to established departmental processes and provides feedback to other System entities as to the status of the applicants
Performs follow-up on needed information (expired licenses, board certifications insurance and DEA registrations) on an ongoing basis and ensures receipt of same in a timely manner
Prepares physician files for file audits by managed care organizations, Corporate Compliance and accreditation entities
Conducts practice site visits for practices within MGD
Facilitates communication tools and or activities to maintain timely and accurate flow of information to Managed Care Organizations (MCOs) and the System
Reviews hard copy and electronic provider directories and other information produced by managed care organizations reflecting MGD and the System's demographics and participation
Provides Team member support to the CPN Credentialing and Quality Review Committee

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Outreach & Engagement Manager

Managing and motivating teams to drive enrollment. Drive enrollment and activati...

Location

United States

Salary:

90000.00 - 115000.00 USD / Year

Pomelo Care

Expiration Date

Until further notice

Requirements

Earned your Bachelor's degree in healthcare management, public health, or a related field
Able to work some evenings, with a standard schedule of Monday - Friday, 8:30am - 5:00pm CST
Proven experience in healthcare management, specifically in outbound calling and proactive outreach
Strong knowledge of Medicaid policies, procedures, and value-based care
Excellent communication and interpersonal skills to engage with diverse patient populations
Demonstrated leadership abilities, with experience in managing and motivating teams
Proficient in data analysis and reporting, using metrics to drive performance improvements
Detail-oriented, with exceptional organizational and documentation skills
Ability to adapt to changing priorities and work effectively in a fast-paced environment
Familiarity with healthcare software systems and customer relationship management (CRM) tools

Job Responsibility

Lead, and manage a team of outreach specialists providing regular training, and coaching to achieve enrollment KPIs
Facilitate onboarding and training of new specialists
Analyze qualitative and quantitative outreach performance metrics to identify trends and opportunities to improve key KPIs including enrollments and CAC
Monitor call quality and adherence to established protocols and standards by conducting regular audits of call recordings and specialist interactions
Maintain accurate and up-to-date documentation of specialist interactions, outcomes, and follow-up actions, adhering to privacy and confidentiality regulations
Identify opportunities and implement process improvements to enhance the efficiency and effectiveness of outbound and inbound calling
Execute on regular performance evaluations of outreach specialist calls and documentation
Create and maintain team schedules to ensure adequate coverage
Ensure compliance with government regulations and guidelines in all outbound calling and outreach activities
Foster a supportive and inclusive team environment, encouraging professional growth and development

What we offer

Competitive healthcare benefits
Generous equity compensation
Unlimited vacation
Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship)

Fulltime

Medical Staff Credentialing Specialist and Coordinator

The Medical Staff Credentialing Specialist and Coordinator assists the Medical D...

Location

United States , Medina

Salary:

50000.00 - 60000.00 USD / Year

Orleans Community Health

Expiration Date

Until further notice

Requirements

Associates Degree or Certified Provider Credentialing Specialist (CPCS)
A minimum of 2-3 Years Credentialing experience is preferred
Excellent verbal and written communication skills, ability to relate well with people of diverse backgrounds, training and experience
Proficiency with medical practice software programs, Familiarity with credentialing requirements of hospitals and insurance carriers
Understanding of Malpractice insurance coverages and policies
Knowledge and understanding of credentialing process
Ability to organize and prioritize work and manage multiply priorities
Ability to research and analyze data
Ability to work independently with minimal supervision
Ability to establish and maintain effective working relationships with providers, management, staff and external contacts

Job Responsibility

Compiles and maintains current and accurate data for all providers
Completes provider credentialing and re-credentialing applications, monitors applications and follow-up as needed
Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers
Maintains corporate provider contract files
Maintains knowledge of current health plan and agency requirements for credentialing providers
Sets up and maintains provider information in online credentialing databases and system
Tracks license and certification expirations for all providers to ensure timely renewals
Ensures practice addresses are current with health plans, agencies and other entities
Audits health plan directories for current and accurate provider information
Completes credentialing/re-credentialing application packets for hospital, insurance carriers and government programs

What we offer

vacation and sick time
health, dental and vision
pension and retirement plan
competitive wages, with superior pension and retirement plans with employer contributions
12% shift differential for working evening and night shifts
excellent vacation, holiday and sick leave package
tuition assistance
free parking

Fulltime

Provider Enrollment Follow-up Specialist

Randstad

Location:
India , Chennai

Category:
Customer Service

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
April 05, 2026

Expiration:
May 04, 2026

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Provider Enrollment Follow-up Specialist

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Job Posted:April 05, 2026

Expiration:May 04, 2026

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