Credentialing & Enrollment Specialist

Added
4 hours ago
Type
Full time
Salary
Salary not provided

Related skills

caqh medicare medicaid pecos payer enrollment
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📋 Description

  • Manage credentialing, recredentialing, and payer enrollment end‑to‑end across providers
  • Prepare, submit, monitor Medicare, Medicaid, and commercial enrollment
  • Maintain provider records in CAQH, PECOS, NPPES, and related systems
  • Track timelines to ensure timely approvals for practice readiness
  • Coordinate provider updates with payers and internal teams
  • Ensure compliance with policies and payer guidelines

🎯 Requirements

  • 3+ years in provider credentialing and payer enrollment preferred
  • Independent management from application to approval
  • Knowledge of Medicare, Medicaid, and commercial enrollment
  • Experience with CAQH, PECOS, NPPES, Availity portals
  • Strong organization with attention to detail
  • Excellent written and verbal communication

🎁 Benefits

  • Hybrid work location with onsite Nashville days
  • Full-time role with benefits
  • Health & wellness coverage; 401(k) with match
  • Paid time off, holidays, volunteer days
  • Equal opportunity employer
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