Credentialing & Enrollment Specialist

Aspirion; United States; Remote; USD 55,000 - 75,000; Full time

Job summary

Aspirion seeks a Credentialing Specialist to coordinate provider credentialing, recredentialing, enrollment, and data management across commercial and government plans. The role ensures regulatory and payer requirements are met and maintains active participation with payers.

You will manage applications, verify credentials, monitor expirations, support audits, and collaborate with internal teams to resolve enrollment issues while safeguarding sensitive information.

Qualifications

• 2+ years of credentialing experience preferred.
• Certified Provider Credentialing Specialist (CPCS) designation or willingness to obtain certification.
• Experience credentialing providers across multiple states and payer networks.

Responsibilities

• Coordinate initial credentialing, recredentialing, and provider enrollment processes.
• Prepare, submit, and monitor credentialing applications with hospitals and payers.
• Maintain provider information in credentialing databases and ensure accuracy.
• Track credential expiration dates for licenses, certifications, and registrations.
• Ensure compliance with federal, state, payer, and organizational requirements.
• Conduct primary source verification as required by standards.
• Assist with enrollment activities with Medicare, Medicaid, and commercial carriers.
• Respond to credentialing inquiries from providers and leadership.
• Prepare credentialing reports and support audits and accreditation.

Skills

Credentialing processes

Payer enrollment

Attention to detail

Communication skills

Independent work style

MS Office

Education

CPCS certification

Healthcare administration degree

High school diploma or equivalent

Tools

CAQH

NPPES

PECOS

Payer enrollment portals

Job description

Aspirion seeks a Credentialing Specialist to coordinate provider credentialing, recredentialing, enrollment, and data management across commercial and government plans. The role ensures regulatory and payer requirements are met and maintains active participation with payers.

You will manage applications, verify credentials, monitor expirations, support audits, and collaborate with internal teams to resolve enrollment issues while safeguarding sensitive information.