Credentialing and Enrollment Specialist

Job Summary

A company is looking for a Provider Credentialing & Enrollment Specialist to support provider enrollment and maintenance across multiple payors and states.

Key Responsibilities

• Review and resolve enrollment issues focusing on state-specific requirements
• Prepare and submit monthly rosters, including new provider additions and terminations
• Track and resolve payors pending over 90 days and assist with administrative tasks

Required Qualifications

• Minimum two years of experience in provider credentialing and enrollment, including Medicaid/revalidations/ETIN certifications for NY/NJ states
• Knowledge of CAQH and experience with the Medallion platform
• Ability to manage multiple priorities in a fast-paced environment