Credentialing & Enrollment Specialist

American Vision Partners; Tempe (AZ); On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

Medical and dental insurance

Eye care discounts

Child care assistance

Pet insurance

Continuing education funds

401(k)

Paid holidays

PTO

Sick Time

Opportunities for growth

Job summary

American Vision Partners (AVP) is seeking a Provider Enrollment Specialist to manage enrollment/credentialing for providers and practices. You will submit applications, track statuses, and maintain detailed records across payers.

The role requires 2–3 years of enrollment/credentialing experience, relevant certifications, strong organization, and familiarity with NCQA, Medicare, Medicaid, and carrier portals. AVP offers growth and comprehensive benefits.

Qualifications

• High School Diploma or equivalent required.
• Associate's Degree preferred or 2 years of office experience.
• PESC or CPCS certification or equivalent in credentialing required.
• 2–3 years of Provider Enrollment and Credentialing experience.
• Working knowledge of Managed Care/Network Management.
• Proficiency with credentialing databases and MS Office.
• Strong organization, attention to detail, and communication skills.

Responsibilities

• Prepares and submits enrollment applications for practitioners, group practices, and facilities.
• Initiates and manages new enrollments until providers are enrolled with all payers.
• Follows up on enrollment status and maintains logs using Smart Sheets.
• Maintains/updates enrollment status reports and provider portals (Wybrak/CAQH).
• Complies with NCQA, Medicare, Medicaid standards; HIPAA compliance.
• Contacts practitioners, insurance reps, and provider staff to assemble data.

Skills

Communication

Problem solving

Organizational skills

Independence & time management

Managed Care knowledge

Provider Enrollment experience

Education

High School Diploma or equivalent

Associate's Degree preferred

2 years office experience in lieu of degree

PESC or CPCS certification

Tools

MS Office & credentialing software

Job description

American Vision Partners (AVP) is seeking a Provider Enrollment Specialist to manage enrollment/credentialing for providers and practices. You will submit applications, track statuses, and maintain detailed records across payers.

The role requires 2–3 years of enrollment/credentialing experience, relevant certifications, strong organization, and familiarity with NCQA, Medicare, Medicaid, and carrier portals. AVP offers growth and comprehensive benefits.