Provider Credentialing & Enrollment Specialist

Emergency Staffing Solutions, Inc.; Dallas (TX); On-site; USD 50,000 - 65,000; Full time

Job summary

Emergency Staffing Solutions, Inc. is seeking a Provider Credentialing and Enrollment Specialist to drive accurate credentialing with client hospitals and enrollment with payers, including CMS programs.

You will support onboarding, maintain provider files, and ensure regulatory compliance in a collaborative healthcare administration team. The role emphasizes end-to-end credentialing, payer enrollment, and staying current with NCQA/JCAHO standards to guarantee compliant credentialing activities

Qualifications

• Experience in managed care environments or healthcare administrative roles involving credentialing or enrollment processes.
• Knowledge of health insurance policies, state healthcare regulations, and NCQA/JCAHO considerations.
• Proficiency with Microsoft Office Suite and credentialing software platforms.
• Familiarity with medical terminology, databases, and healthcare compliance protocols.
• Experience reviewing credentialing applications and managing provider files in regulated settings.

Responsibilities

• Manage end-to-end provider credentialing including review, verification, and file maintenance.
• Enroll providers with health payers and government programs to ensure reimbursement workflows.
• Stay updated on state regulations and accreditation standards to ensure compliance.
• Use credentialing software to track applications, update databases, and generate reports.
• Coordinate with providers to gather documentation while maintaining confidentiality and HIPAA compliance.
• Collaborate with contract management to align provider agreements with credentialing status.

Skills

Credentialing

Enrollment

HIPAA compliance

Regulatory knowledge

Organizational skills

Tools

Microsoft Office

Credentialing software

Healthcare software

Job description

Emergency Staffing Solutions, Inc. is seeking a Provider Credentialing and Enrollment Specialist to drive accurate credentialing with client hospitals and enrollment with payers, including CMS programs.

You will support onboarding, maintain provider files, and ensure regulatory compliance in a collaborative healthcare administration team. The role emphasizes end-to-end credentialing, payer enrollment, and staying current with NCQA/JCAHO standards to guarantee compliant credentialing activities