Provider Credentialing & Enrollment Specialist

Capital Health; Northern (KY); Hybrid; USD 28,000 - 36,000; Part time

Benefits offered by this job

Retirement Savings Plan

Disability Benefits (STD)

Sick Time Off

Employee Assistance Program

Job summary

Capital Health is seeking a per diem Credentialing & Enrollment Specialist to manage end-to-end credentialing and enrollment processes, acting as a liaison between providers, insurance entities and revenue cycle. Advanced analytical skills are required to evaluate documentation and ensure data integrity across systems.

This role maintains audits of provider files for compliance, updates systems for regulatory accuracy, and coordinates the enrollment lifecycle to support uninterrupted

Qualifications

• High school diploma or equivalency.
• One year of provider credentialing and/or enrollment experience in a medical office environment.
• In lieu of required experience, three years of Revenue Cycle experience in contracting, billing, registration, or administration in a physician office or hospital.

Responsibilities

• Maintains expert-level understanding of evolving accreditation and insurance regulations.
• Reviews credentials to ensure compliance with state, federal, and payer rules.
• Works across payer platforms to ensure accuracy and efficiency in regulations and procedures.
• Facilitates end-to-end enrollment lifecycle to ensure uninterrupted reimbursement.

Skills

Attention to detail

Communication skills

Customer service

Organization

Education

High school diploma

Tools

Credentialing software

Windows-based processing

Excel

Job description

Capital Health is seeking a per diem Credentialing & Enrollment Specialist to manage end-to-end credentialing and enrollment processes, acting as a liaison between providers, insurance entities and revenue cycle. Advanced analytical skills are required to evaluate documentation and ensure data integrity across systems.

This role maintains audits of provider files for compliance, updates systems for regulatory accuracy, and coordinates the enrollment lifecycle to support uninterrupted