Provider Credentialing Specialist — Payer Enrollment

Healthcare Providers Care; Saint Petersburg (FL); On-site; USD 50,000 - 65,000; Full time

Benefits offered by this job

Training and supportive team

Growth into senior and team lead roles

Job summary

Healthcare Providers Care is seeking a Credentialing Specialist to manage provider enrollment with US insurance payers from start to finish. You will collect and verify provider documents, manage CAQH ProView profiles, and submit applications for Medicare, Medicaid, and commercial payers.

You will also track re-attestation and re-credentialing timelines. The role emphasizes strong organization, attention to detail, and clear English communication within a supportive team.

Qualifications

• 1+ year of US provider credentialing experience.
• Knowledge of CAQH, NPPES, PECOS and payer enrollment portals.
• Strong organization and follow-up skills.
• Clear spoken and written English.

Responsibilities

• Collect and check provider documents and practice information.
• Create, update and attest CAQH ProView profiles.
• Prepare and submit Medicare (PECOS), Medicaid and commercial payer applications.
• Follow up with payers until enrollment and contracts are complete.
• Track re-attestation, revalidation and re-credentialing dates.

Skills

Organization

Follow-up

English proficiency

Tools

CAQH

NPPES

PECOS

Job description

Healthcare Providers Care is seeking a Credentialing Specialist to manage provider enrollment with US insurance payers from start to finish. You will collect and verify provider documents, manage CAQH ProView profiles, and submit applications for Medicare, Medicaid, and commercial payers.

You will also track re-attestation and re-credentialing timelines. The role emphasizes strong organization, attention to detail, and clear English communication within a supportive team.