Credentialing & Enrollment Specialist — Flexible Hours

Dean Dorton; Raleigh (NC); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Flexible schedules

Paid Time Off

Family leave

Retirement plan

Telemedicine

Job summary

Dean Dorton Healthcare Consulting seeks a Credentialing Services Specialist to ensure accurate credentialing and enrollment across Medicare, Medicaid, and commercial payers. You will manage licensure tracking, applications, and payer communications while upholding HIPAA and confidentiality.

You will coordinate multistate credentialing efforts, maintain precise provider records, and support clients and internal teams with timely, compliant credentialing services in a fast-paced environment.

Qualifications

• Minimum of 2 years of experience in provider credentialing across multiple payers and specialties.
• Experience with Intellisoft and CAQH databases preferred.
• Familiarity with EFT setup, payer enrollment, and credentialing requirements across multiple states.
• Strong attention to detail, organization, and record-keeping skills.
• Ability to manage multiple priorities with accuracy under tight deadlines.

Responsibilities

• Manage provider credentialing and enrollment processes with Medicare, Medicaid, and commercial payers.
• Initiate payer contracts for new physician practices and monitor revalidations and renewals.
• Maintain accurate provider records, including licensure, certifications, malpractice insurance, and DEA registration.
• Complete applications and updates in Intellisoft, CAQH, and payer-specific portals.
• Track and resolve credentialing-related issues to ensure uninterrupted claim processing and payment.

Skills

Credentialing

Payer enrollment

Attention to detail

Communication

Multi-tasking

Tools

Intellisoft

CAQH

Microsoft Office

EFT platforms

Payer portals

Job description

Dean Dorton Healthcare Consulting seeks a Credentialing Services Specialist to ensure accurate credentialing and enrollment across Medicare, Medicaid, and commercial payers. You will manage licensure tracking, applications, and payer communications while upholding HIPAA and confidentiality.

You will coordinate multistate credentialing efforts, maintain precise provider records, and support clients and internal teams with timely, compliant credentialing services in a fast-paced environment.