Credentialing & Enrollment Specialist - NH

Southern New Hampshire Health; Nashua (NH); On-site; USD 30,000 - 39,000; Full time

Benefits offered by this job

Health insurance

Dental coverage

Vision coverage

Tuition reimbursement

Nursing student loan paydown

Paid time off

Job summary

Southern New Hampshire Health is seeking a Credentialing Analyst to support its credentialing function, ensuring accurate licensure, certifications, and payer enrollment processes for providers and organizations in New Hampshire and nearby regions.

The role emphasizes re-verification, compliance with government payers, and maintaining up-to-date knowledge of payer enrollment obligations, with on-site work in Nashua, NH.

Qualifications

• High School Diploma required; some college preferred.
• 2–3 years of provider insurance enrollment experience.
• Knowledge of NH and MA provider insurance enrollment and medical licensing requirements.
• Proficient in MS Word, Excel, and Outlook.

Responsibilities

• Initiate the medical staff appointment process and prepare all applications, addendums, and professional liability insurance.
• Maintain enrollment for providers and/or organization with insurance plans, follow up on effective dates, update practice change information, and assist the Revenue Cycle Department with resolving enrollment-related claim processing issues.
• Verify provider education history, research federal/state/local licensing guidelines, and update provider data in the universal CAQH database.
• Perform data entry in the credentialing system for provider and organizational licenses, DEA, and Certifications, and run proactive reports to notify managers of expiring credentials.

Skills

MS Word

Excel

Outlook

Education

High School Diploma

Job description

Southern New Hampshire Health is seeking a Credentialing Analyst to support its credentialing function, ensuring accurate licensure, certifications, and payer enrollment processes for providers and organizations in New Hampshire and nearby regions.

The role emphasizes re-verification, compliance with government payers, and maintaining up-to-date knowledge of payer enrollment obligations, with on-site work in Nashua, NH.