Healthcare Credentialing & Provider Enrollment Specialist

ReWorks Solutions; United States; Remote; USD 18,000 - 20,000; Full time

Job summary

ReWorks Solutions is seeking a detail-oriented Healthcare Credentialing & Provider Enrollment Specialist to support credentialing and enrollment for US-based providers in ABA therapy. You will manage applications for BCBAs and RBTs, navigate state portals, and ensure timely submission with accurate documentation.

You will work remotely from South Africa, coordinating with stakeholders and maintaining precise credentialing records to ensure compliance and timely approvals.

Qualifications

• Experience in healthcare credentialing or provider enrollment.
• Familiarity with online credentialing portals.
• Strong organizational skills and accuracy.

Responsibilities

• Manage credentialing and enrollment applications through US state portals.
• Handle credentialing requirements for BCBAs and RBTs.
• Prepare, review, and submit provider documentation.
• Monitor progress and follow up on pending submissions.
• Maintain credentialing records and documentation trackers.
• Ensure completion of requirements within deadlines.
• Identify missing docs and discrepancies causing delays.
• Communicate updates to stakeholders on progress.
• Keep organized records and ensure compliance.

Skills

Healthcare credentialing

Provider enrollment

Documentation management

Attention to detail

Communication

Time management

Tools

GAMMIS

NCTracks

Online credentialing portals

Job description

Company: ReWorks Solutions
Location: Remote – South Africa
Working Hours: Monday – Friday, 9:00 AM – 5:00 PM EST
Monthly Salary: R26,500 – R30,000

About the Role

We are looking for a detail-oriented and experienced Healthcare Credentialing & Provider Enrollment Specialist to join our client's team, supporting provider credentialing and enrollment within the US healthcare sector.

In this role, you will be responsible for managing the credentialing and enrollment process for healthcare professionals, specifically Board Certified Behavior Analysts (BCBAs) and Registered Behavior Technicians (RBTs) within the Applied Behavior Analysis (ABA) therapy industry.

You will work with US state credentialing portals, manage provider applications, monitor submission progress, and ensure all required documentation is accurately completed and submitted within the necessary timeframes.

This is an excellent opportunity for someone with previous healthcare credentialing or provider enrollment experience who is comfortable navigating online portals and managing multiple applications independently.

Key Responsibilities

• Manage provider credentialing and enrollment applications through US state portals, including GAMMIS and NCTracks.
• Handle credentialing and certification requirements for BCBAs and RBTs.
• Prepare, review, and submit provider documentation and applications.
• Monitor application progress and follow up on pending, incomplete, or outstanding submissions.
• Maintain accurate credentialing records, trackers, and provider documentation.
• Ensure all credentialing requirements and supporting documents are completed accurately and within deadlines.
• Identify missing documentation, application discrepancies, and potential delays.
• Communicate updates regarding credentialing and enrollment progress to relevant stakeholders.
• Maintain organized records and ensure compliance with applicable credentialing requirements.

Minimum Requirements

• Previous experience in healthcare credentialing, provider enrollment, or medical credentialing.
• Experience working with online credentialing portals or healthcare provider registration systems.
• Strong administrative, organizational, and documentation management skills.
• Excellent attention to detail and accuracy.
• Ability to manage multiple applications and deadlines simultaneously.
• Strong follow-through and the ability to independently manage assigned tasks.
• Good written and verbal communication skills.

Advantageous Experience

• Previous experience within the US healthcare or ABA therapy industry.
• Familiarity with GAMMIS and NCTracks state portals.
• Experience credentialing or enrolling BCBAs and RBTs.
• Understanding of US healthcare provider enrollment processes and certification requirements.

The Ideal Candidate

You are highly organized, proactive, and comfortable working independently. You understand the importance of accuracy when handling sensitive provider documentation and can confidently manage multiple credentialing applications while keeping track of deadlines and outstanding requirements.

If you have hands-on healthcare credentialing or provider enrollment experience and are looking for a fully remote opportunity supporting the US healthcare industry, we'd love to hear from you!