Impactful Healthcare Credentialing & Enrollment Specialist

Jobot; Albuquerque (NM); Presencial; USD 50 000 - 60 000; Tempo integral

Resumo da oferta

Jobot is seeking a Credentialing & Enrollment Specialist for a mission-driven nonprofit healthcare organization in Albuquerque, NM. You will coordinate provider credentialing, recredentialing, and payer enrollment to keep clinicians eligible to bill for services.

Join a collaborative team and help ensure accurate credentialing records, timely submissions, and compliance across CAQH and payer systems while supporting providers and clinic leadership.

Qualificações

• Experience with healthcare credentialing and provider enrollment.
• Experience with Medicare, Medicaid, and/or commercial payer enrollment preferred.
• Knowledge of CAQH and electronic provider enrollment systems.
• Familiarity with New Mexico Medicaid enrollment is highly desirable.
• Strong organizational skills and attention to detail; able to manage multiple deadlines.

Responsabilidades

• Coordinate initial credentialing and recredentialing for physicians and other providers.
• Complete and submit provider enrollment applications with Medicare, NM Medicaid, and other payers.
• Maintain provider information within CAQH and enrollment systems.
• Track applications from submission to approval and resolve delays.
• Support provider onboarding and collaborate with billing, HR, and clinic leadership.
• Verify licenses, certifications, DEA registrations, and malpractice coverage.
• Monitor expirations and renewals; assist with documentation submission.

Conhecimentos

Credentialing & enrollment

Medicare/Medicaid enrollment

CAQH knowledge

Electronic enrollment systems

Microsoft Office / healthcare systems

Strong organizational skills

Written and verbal communication

Independent issue research

Nonprofit healthcare environment

Ferramentas

CAQH

Enrollment systems

Microsoft Office

Descrição da oferta de emprego

Jobot is seeking a Credentialing & Enrollment Specialist for a mission-driven nonprofit healthcare organization in Albuquerque, NM. You will coordinate provider credentialing, recredentialing, and payer enrollment to keep clinicians eligible to bill for services.

Join a collaborative team and help ensure accurate credentialing records, timely submissions, and compliance across CAQH and payer systems while supporting providers and clinic leadership.