Payor Contracting Specialist

National Addiction Specialists; Nashville (TN); Vor Ort; USD 27.552 - 38.572; Vollzeit

Benefits dieser Stelle

Health insurance

Paid time off

Zusammenfassung

National Addiction Specialists in Nashville is seeking a Mid-Level Provider Licensing Specialist to support the provider enrollment process by preparing and submitting applications to state licensing boards.

This in-office role offers comprehensive paid training, opportunities for career growth within the organization, and a competitive hourly pay with a Monday–Friday schedule. Office-based position with potential flexibility.

Qualifikationen

• No prior licensing experience required; comprehensive paid training provided.

Aufgaben

• Prepare and submit provider applications to state licensing boards.
• Verify credentials and documents for accuracy and compliance.
• Communicate with providers, state departments, and internal teams.
• Maintain provider records in enrollment systems (CAQH, PECOS, NPPES).
• Track licensing application status and follow up.
• Support re-credentialing and audits of provider files.
• Ensure HIPAA and regulatory compliance.
• Respond to licensing status inquiries professionally.

Kenntnisse

Provider enrollment

Attention to detail

Organizational skills

Communication

Tools

CAQH

PECOS

NPPES

Jobbeschreibung

We are seeking a motivated and detail-oriented Mid-Level Provider Licensing Specialist to join our healthcare administration team. In this role, you will support the provider enrollment process by preparing and submitting provider applications to state licensing boards. This position is ideal for individuals with strong organizational skills and a desire to grow in the healthcare industry.

Key Responsibilities:

• Prepare and submit provider applications to state licensing boards.
• Verify provider credentials and documentation to ensure accuracy and compliance with state licensing requirements.
• Communicate with providers, state departments, and internal teams to resolve licensing issues or obtain missing information.
• Maintain and update provider records in enrollment databases and systems (e.g., CAQH, PECOS, NPPES).
• Track the status of licensing applications and follow up as needed.
• Assist with re-credentialing processes and periodic audits of provider files.
• Ensure compliance with state, federal, and payer-specific regulations, including HIPAA guidelines.
• Respond to inquiries regarding provider licensing status in a professional and timely manner.

Why Join Us?

• Comprehensive paid training provided, no prior experience necessary.
• Opportunities for career growth and advancement within the organization.
• Supportive team environment with regular coaching and feedback.
• Competitive hourly pay with potential for performance-based increases.
• Typical schedule: Monday-Friday, 8:00 AM-5:00 PM (flexible hours may be available).
• Office-based.
• Ability to sit or stand for extended periods and use general office equipment (computer, phone, etc.).

Job Type: Full-time ( 40.0 hours per week)

• Health insurance
• Paid time off

Ability to Commute (in-person position):