Provider Enrollment & Credentialing Specialist

Description

Join the Team at PedIM Healthcare!

Delivering exceptional care, together.

Who We Are

PedIM Healthcare is the first private medical office of its kind in Citrus County – offering top-quality care for children, adults, and seniors all under one roof. We provide pediatrics, adult internal medicine, family practice, geriatrics, women’s care, medical weight-loss, sleep-medicine services and more.

Our dedicated, community-focused team is committed to excellence, pride in service, and making a real difference for patients and families across Citrus County.

Why Work With Us?

• A broad, multi-discipline practice where you can grow: pediatrics, internal medicine, weight-loss & sleep medicine specialties.
• A values-driven environment: we listen, we help, we understand—and we care.
• Community-oriented and recognized: voted “best of the best” in the region.
• Opportunity to make a meaningful impact by supporting patients over their full life span—from children to seniors.
• A workplace committed to employee development and delivering holistic care.

The Role

PedIM Healthcare is seeking an experienced Provider Enrollment & Credentialing Specialist  to support our growing organization. This role is responsible for managing complex provider credentialing and payer enrollment processes across multiple entities, locations, and states.

This is a high-impact role requiring prior experience and the ability to work independently in a fast-paced, multi-entity healthcare environment.

Benefits Available To You:

Joining our team means more than just a job—it means access to benefits designed to support your health, well-being, and work-life balance.

• Health coverage Sick-N-Well membership
• Health Savings Account (HSA)
• Life insurance
• Paid time off
• 401(k) plan 4% company match
• Relax Scofa membership
• Employee Assistance Program (EAP)
• Employee Recognition Program

And more!
 

What You’ll Do: 

The Credentialing & Enrollment Specialist will manage the full lifecycle of provider credentialing and payer enrollment, including initial applications, revalidations, and ongoing maintenance. This position supports multiple tax IDs, provider types, and payer relationships, ensuring accuracy, compliance, and timely processing.

Key Responsibilities

• Manage end-to-end credentialing and enrollment for providers with Medicare, Medicaid, and commercial payers
• Complete and maintain CAQH profiles, applications, and revalidations
• Coordinate multi-state and multi-location enrollments across multiple tax IDs
• Track application status and proactively follow up with payers to ensure timely approvals
• Maintain accurate and up-to-date provider records and credentialing files
• Ensure compliance with CMS guidelines and regulatory requirements
• Collaborate with internal teams including HR, operations, and billing
• Identify and resolve enrollment issues that may impact provider billing or revenue

Requirements

Qualities That Make You A Great Fit:

• Minimum 2 years of credentialing and enrollment experience in a healthcare setting
• Strong knowledge of payer enrollment processes and CAQH
• Experience working with Medicare, Medicaid, and commercial insurance plans
• Ability to manage high-volume, detail-oriented work independently
• Strong organizational and follow-up skills
• Excellent communication skills
  

Preferred Qualifications

• Experience with multi-entity or multi-location healthcare organizations
• Familiarity with Florida Medicaid and out-of-state enrollments
• Experience in primary care, outpatient, or multi-specialty settings

Why Join Us?

• Join a growing healthcare organization supporting multiple service lines and communities
• Work closely with a collaborative and supportive leadership team
• Make a direct impact on provider onboarding, compliance, and revenue cycle success
• Flexible remote work environment
  

Schedule

Full-time | Monday–Friday

Apply Today

If you have experience in credentialing and enrollment and are looking for a role where you can make an immediate impact, we encourage you to apply. 

All employment offers at PedIM Healthcare are contingent upon the successful completion of applicable background checks, verification of credentials, and compliance with health and safety requirements.

Compliance & Equal Opportunity Notice

PedIM Healthcare is proud to be an Equal Opportunity Employer and is fully committed to compliance with all federal, state, and local employment laws. We believe every team member deserves a workplace built on respect, fairness, and opportunity.

We do not discriminate on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, gender identity, and sexual orientation), national origin, age, disability, genetic information, marital status, veteran status, or any other protected characteristic under applicable law.

In alignment with the Americans with Disabilities Act (ADA), PedIM Healthcare provides reasonable accommodations to qualified individuals with disabilities to ensure equal access to employment opportunities and participation in all aspects of our hiring and employment processes.

Employment at PedIM Healthcare is offered on an at-will basis and is contingent upon the successful completion of all required background checks, credential verifications, and health or safety screenings consistent with healthcare regulatory standards. Certain roles may also require proof of immunizations or other health compliance documentation.

We are dedicated to fostering a diverse, inclusive environment where every employee feels valued, supported, and empowered to contribute to our mission of delivering exceptional, compassionate care to our community.

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