Austin On-Site Provider Credentialing Specialist

Dastify Solutions LLC.; Austin (TX); On-site; USD 52,000 - 75,000; Full time

Job summary

Dastify Solutions LLC. seeks a Provider Credentialing & Enrollment Specialist to manage provider records and payer applications for healthcare clients. You will gather documentation, maintain profiles, and ensure timely enrollment progress across multiple payers.

Responsibilities include reviewing documents, preparing applications, maintaining CAQH profiles, and coordinating updates through PECOS, NPPES, and payer portals, while tracking statuses and communicating with billing teams.

Qualifications

• At least two years of provider credentialing or payer enrollment experience.
• Familiarity with CAQH and Medicare or Medicaid enrollment workflows.
• Understanding the differences between credentialing, contracting and payer enrollment.
• Experience managing multiple applications and deadlines.
• Clear communication with providers, practice staff and payer representatives.
• High school diploma or equivalent.

Responsibilities

• Collect and review provider licenses, insurance certificates and other required documents.
• Prepare initial credentialing, recredentialing and payer enrollment applications.
• Maintain CAQH profiles and coordinate timely provider attestations.
• Support authorized updates and applications through PECOS, NPPES and payer portals.
• Track application status, missing documents, renewal dates and payer responses.
• Follow up on individual and group enrollments, practice locations and provider affiliations.
• Obtain written confirmation of payer effective dates and communicate relevant details to billing teams.
• Maintain organized records and escalates delays or discrepancies.

Skills

Provider credentialing

Payer enrollment

CAQH familiarity

Medicare/Medicaid enrollment

Deadline management

Communication

Documentation

Education

High school diploma or equivalent

Tools

PECOS

NPPES

Payer portals

CAQH portal

Job description

Dastify Solutions LLC. seeks a Provider Credentialing & Enrollment Specialist to manage provider records and payer applications for healthcare clients. You will gather documentation, maintain profiles, and ensure timely enrollment progress across multiple payers.

Responsibilities include reviewing documents, preparing applications, maintaining CAQH profiles, and coordinating updates through PECOS, NPPES, and payer portals, while tracking statuses and communicating with billing teams.