Credentialing & Enrollment Specialist

LeoForce; Albuquerque (NM); On-site; USD 50,000 - 60,000; Full time

Job summary

LeoForce in Albuquerque, NM is seeking a mid-level Credentialing & Enrollment Specialist to manage the entire credentialing workflow, from application to enrollment, with a strong compliance focus. Ideal candidates have 3+ years in medical credentialing, nonprofit sector experience, and excellent organizational and communication skills.

This is a permanent, full-time role with competitive benefits and opportunities for growth.

Qualifications

• Minimum of 3 years in medical credentialing and enrollment with a compliance focus.
• Experience in nonprofit sector preferred.
• Knowledge of credentialing and enrollment standards.
• Strong regulatory compliance understanding.
• Excellent written and verbal communication.

Responsibilities

• Manage all aspects of the credentialing and enrollment process from application to enrollment.
• Ensure compliance with relevant regulations and standards.
• Maintain accurate credentialing and enrollment records.
• Coordinate with departments to ensure timely documentation.
• Manage renewal and re-credentialing for all medical staff.
• Conduct audits to ensure regulatory compliance.
• Develop and implement credentialing/policy procedures.
• Collaborate with finance for accurate billing and reimbursement.
• Act as liaison with external entities such as insurers and regulators.
• Stay updated with credentialing standards and implement changes.

Skills

Organizational skills

Attention to detail

Communication skills

Problem-solving

Discretion

Teamwork

Integrity

Independent work

Tools

Microsoft Office

Job description

Date Posted: 08-03-2026

Job Description

Experience:

Mid Level

Salary:

$50,000 - $60,000 per year

Responsibilities:

• Manage all aspects of the medical credentialing and enrollment process, including application, verification, and enrollment
• Ensure compliance with all relevant regulations and standards
• Maintain accurate and up-to-date records of credentialing and enrollment information
• Coordinate with various departments to ensure that all necessary documentation is received and processed in a timely manner
• Manage the renewal and re-credentialing process for all medical staff
• Conduct audits to ensure that all credentialing and enrollment activities are in compliance with regulatory standards
• Develop and implement policies and procedures related to credentialing and enrollment
• Collaborate with the finance team to ensure accurate billing and reimbursement processes
• Act as a liaison between our organization and external entities, such as insurance companies and regulatory bodies
• Stay up-to-date with changes in credentialing and enrollment standards and regulations, and implement necessary changes to ensure compliance

Qualifications:

• Minimum of 3 years of experience in medical credentialing and enrollment, with a focus on compliance
• Prior experience in the nonprofit sector is strongly preferred
• Comprehensive knowledge of credentialing and enrollment processes and standards
• Strong understanding of compliance regulations
• Excellent organizational skills with the ability to manage multiple tasks simultaneously
• Strong attention to detail and accuracy
• Excellent written and verbal communication skills
• Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
• Ability to work independently and as part of a team
• Strong problem-solving skills and the ability to think critically
• High level of integrity and professionalism
• Ability to handle sensitive information with discretion and confidentiality.

A bit about us:

We are seeking a dynamic and detail-oriented Credentialing & Enrollment Specialist to join our team. This role is ideal for a seasoned professional with a strong background in compliance, medical credentialing and enrollment, and the nonprofit industry. As a vital part of our team, you will play a crucial role in ensuring that our organization meets all necessary compliance and credentialing standards. You will be responsible for managing the entire credentialing process, from application to verification and enrollment. This is a permanent, full-time position with excellent benefits and opportunities for professional growth.

Why join us?

One of the things that makes this opportunity unique is the chance to join a mission-driven nonprofit where your work has a direct impact on the community. In addition to competitive benefits and excellent work-life balance.

#accounting-finance #compliance #credentialing #provider-enrollment #nonprofit-industry #medical-credentialing-and-enrollment #tier4