Hybrid Provider Enrollment & Credentialing Specialist (Houston)

Addison Group; Houston (TX); Hybrid; USD 29,000 - 34,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

401k

Job summary

Addison Group partners with a large healthcare organization to hire a Provider Enrollment Specialist in West Houston. The role focuses on provider enrollment, credentialing, and supporting new payer initiatives with data management and project coordination.

The ideal candidate brings 2+ years in provider enrollment, hands-on experience with NPPES and CAQH, and proficiency in Epic, Excel and credentialing systems. Hybrid schedule with on-site and remote weeks.

Qualifications

• 2+ years of provider enrollment experience.
• Hands-on experience with NPPES and CAQH.
• Experience enrolling providers with Medicare, Medicaid, and commercial payers.
• Knowledge of provider enrollment, credentialing, and recredentialing processes.
• Experience with credentialing systems preferred.

Responsibilities

• Complete provider enrollment and payer application processes.
• Maintain and update provider information in NPPES and CAQH.
• Enroll providers with Medicare, Medicaid, and commercial payers.
• Review applications for completeness and identify enrollment discrepancies or red flags.
• Track provider enrollment status and follow up on outstanding items.
• Maintain accurate provider data within credentialing and enrollment systems.
• Support new payer and special project initiatives.
• Monitor project progress and ensure deadlines are met.
• Communicate with providers, payers, and internal teams regarding enrollment status.

Skills

Provider enrollment

NPPES

CAQH

Medicare enrollment

Epic

Microsoft Access

Excel

Tools

Epic

Microsoft Access

Excel

Job description

Addison Group partners with a large healthcare organization to hire a Provider Enrollment Specialist in West Houston. The role focuses on provider enrollment, credentialing, and supporting new payer initiatives with data management and project coordination.

The ideal candidate brings 2+ years in provider enrollment, hands-on experience with NPPES and CAQH, and proficiency in Epic, Excel and credentialing systems. Hybrid schedule with on-site and remote weeks.