Credentialing & Provider Enrollment Expert

Sea Mar Community Health Centers; Washington (District of Columbia); On-site; USD 33,000 - 36,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Life Insurance

EAP

Paid time off

401(k)

Job summary

Sea Mar Community Health Centers is seeking a Credentialing and Provider Enrollment Specialist to coordinate credentialing and privileging for licensed providers across medical, dental, and behavioral health departments.

Ensure timely processing of enrollments with Medicare, Medicaid, and private pay programs, monitor licensure expirations, and support the Credentialing and Enrollment Manager with committee meetings. Strong attention to detail and system proficiency required.

Qualifications

• Understand credentialing and privileging standards (Joint Commission, NCQA, URAC, CMS, HRSA).
• Experience with credentialing for medical, dental and behavioral health providers.
• Ability to read and interpret complex documents and regulatory requirements.

Responsibilities

• Coordinate credentialing/qualifying processes for licensed providers.
• Maintain timely, complete credentialing files and monitor expirations.
• Prepare and submit applications and reappointment paperwork accurately.

Skills

Joint Commission

NCQA

URAC

CMS

HRSA credentialing

Education

College degree preferred

High school diploma acceptable

Tools

MD Staff credentialing software

Microsoft Excel

Web-based databases

Job description

Sea Mar Community Health Centers is seeking a Credentialing and Provider Enrollment Specialist to coordinate credentialing and privileging for licensed providers across medical, dental, and behavioral health departments.

Ensure timely processing of enrollments with Medicare, Medicaid, and private pay programs, monitor licensure expirations, and support the Credentialing and Enrollment Manager with committee meetings. Strong attention to detail and system proficiency required.