Provider Enrollment & Credentialing Specialist

Key Responsibilities:

• Manage the credentialing and re-credentialing processes for physicians, nurse practitioners, and physician assistants.
  

• Enroll new providers with Medicare, Medicaid, and commercial insurance plans.
  

• Maintain accurate and up-to-date provider information in internal databases and with payer systems.
  

• Track expirables (e.g., licenses, certifications, malpractice insurance) and ensure timely renewals.
  

• Communicate with providers and internal departments to gather necessary documentation and resolve enrollment or credentialing issues.
  

• Monitor and respond to payer requests and follow up to ensure timely processing.
  

• Stay current on enrollment and credentialing regulations and payer requirements.
  

• Support facility privileging processes when applicable.
  

Qualifications:

• 2 years of experience in healthcare credentialing and/or provider enrollment.
  

• Familiarity with CAQH, PECOS, NPPES, and commercial insurance enrollment processes.
  

• Strong organizational skills and attention to detail.
  

• Ability to work independently and manage multiple tasks and deadlines.
  

• Excellent communication skills, both written and verbal.
  

• Experience in wound care or with mobile healthcare providers is a plus.
  

Preferred Skills:

• Knowledge of credentialing software and platforms.
  

• Experience working with a geographically distributed provider team.
  

• Understanding of state licensing requirements and compliance standards.
  

Why Join Us?

• Opportunity to be part of a mission-driven team making a direct impact on patient care.
  

• Supportive and collaborative work environment.
  

• Competitive salary and benefits package.