Health Plan Credentialing / Payer Enrollment Specialist

Catalyst Consulting - The Business of Medicine; Irving (TX); Remote; USD 50,000 - 70,000; Full time

Job summary

Catalyst Consulting, a leading medical consulting firm, is seeking a Health Plan Credentialing / Payer Enrollment Specialist. The position entails managing the credentialing process for healthcare providers, requiring strong organizational skills and knowledge of payer-specific requirements. Join a supportive team offering competitive salary and flexible work arrangements.

Benefits

Remote work

Flexible hours

Professional development

Qualifications

• Minimum of two years of experience in healthcare credentialing.
• Knowledge of Medicare, Medicaid, and commercial payer processes.
• Familiarity with credentialing software.

Responsibilities

• Manage credentialing applications for healthcare providers.
• Serve as a liaison between providers and payers.
• Maintain accurate provider databases.

Skills

Attention to detail

Organizational skills

Communication skills

Multitasking

Tools

CAQH

PECOS

Job description

Job Posting : Health Plan Credentialing / Payer Enrollment Specialist

Location : Austin, TX

Employment Type : Full-time

Salary Range : Competitive Based on Experience

Scroll down the page to see all associated job requirements, and any responsibilities successful candidates can expect.

About Us :

A nationally recognized medical practice consulting firm seeks an experienced industry specialist to join our team in the role of Provider Enrollment Specialist .

Catalyst Consulting has been servicing medical clients across the nation for over 26 years as they start and grow their practices. We are expanding and looking for individuals who would like to work for a growing consulting business that offers a highly sought after “lifestyle job” which allows for flexible hours, remote work, an open-door policy, and a friendly and supportive work environment with opportunities to grow with us. We are not a corporate backed organization with the requirements and limitations that come with that. If you are a motivated self-starter who appreciates the freedom to do your job, with the support of a management team who has worked their way into management by starting with the basics and working their way up – this position is right for you!

Catalyst Consulting | The Business of Medicine (catalyst-consultants.com)

Position Overview

The Provider Enrollment Specialist is responsible for managing and coordinating the credentialing and enrollment process for healthcare providers across various payers. The ideal candidate will have excellent organizational skills, strong attention to detail, and a deep understanding of credentialing requirements and payer-specific processes.

Key Responsibilities

• Credentialing Management :
• Prepare, review, and submit credentialing applications for healthcare providers with commercial and government payers.
• Maintain up-to-date provider information in credentialing databases and systems.
• Track application statuses and follow up with payers to ensure timely approval.
• Manage enrollment processes for new providers and facilities with Medicare, Medicaid, and private insurance plans.
• Coordinate updates to provider rosters, including changes in practice locations, group affiliations, and tax IDs.
• Communication and Support :
• Serve as a liaison between providers and payers to resolve credentialing and enrollment issues.
• Data Management :
• Maintain accurate and organized files for all credentialing and enrollment activities.
• Regularly update databases with provider information and application statuses.

Qualifications

• Minimum of two years of experience in healthcare credentialing and provider enrollment.
• Knowledge of Medicare, Medicaid, and commercial payer enrollment processes.
• Familiarity with credentialing software (e.g., CAQH, PECOS, or payer-specific portals).
• Exceptional attention to detail and organizational skills.
• Strong communication skills, both written and verbal.
• Ability to multitask and meet deadlines.

Why Join Us?

• Competitive salary and benefits package.
• Opportunity to work with a dedicated and supportive team.
• Professional development and growth opportunities.
• Additional perks : remote work and flexible hours.

Create a job alert for this search

Enrollment Specialist • Irving, Texas, US