Credentialing & Enrollment Specialist - Hybrid/Remote

Physicians' Ally Inc.; Littleton (CO); Hybrid; USD 50,000 - 70,000; Full time

Benefits offered by this job

Health insurance

Paid time off

401(k) matching

Dental insurance

Flexible schedule

Vision insurance

Job summary

Physicians' Ally is seeking a Credentialing Specialist to join our Colorado team. This role manages provider credentialing, payer enrollment, CAQH maintenance, demographic records, and regulatory activities across U.S. practices.

The position supports physicians and practice administrators, requiring strong attention to detail, organization, and communication, with the ability to manage multiple deadlines. Hybrid in Colorado, full-time or part-time, with benefits including health insurance,

Qualifications

• 2+ years of credentialing, provider enrollment, or healthcare administration experience.
• Working knowledge of CAQH, NPPES, Medicare, Medicaid, and payer portals.
• Proficiency with Microsoft Office and web-based applications.
• Strong organizational, communication, and multitasking skills.
• Detail-oriented with a high level of professionalism and confidentiality.

Responsibilities

• Manage provider credentialing, recredentialing, and CAQH maintenance.
• Prepare and track provider enrollments with commercial and government payers.
• Maintain provider demographics, NPPES records, payer rosters, and directory listings.
• Coordinate Medicare, Medicaid, and state licensure applications and renewals.
• Manage hospital privileging, ASC credentialing, and facility affiliations.
• Monitor credentialing deadlines, provider documentation, and regulatory compliance.
• Research and resolve credentialing, enrollment, and payer-related issues.
• Communicate effectively with providers, payers, hospitals, and regulatory agencies.

Skills

Credentialing

Provider enrollment

CAQH

NPPES

Payer portals

Microsoft Office

Communication

Multitasking

Confidentiality

Tools

Modio

Job description

Physicians' Ally is seeking a Credentialing Specialist to join our Colorado team. This role manages provider credentialing, payer enrollment, CAQH maintenance, demographic records, and regulatory activities across U.S. practices.

The position supports physicians and practice administrators, requiring strong attention to detail, organization, and communication, with the ability to manage multiple deadlines. Hybrid in Colorado, full-time or part-time, with benefits including health insurance,