Provider Enrollment and Credentialing Specialist

Grace Community Care and Homes Inc.; Hamilton Township (NJ); Sur place; USD 33 000 - 41 000; Temps partiel

Résumé du poste

Grace Community Care & Homes is developing its Central Operations department and seeks a Provider Enrollment and Credentialing Specialist to contribute to person-centered services, reliable operations and accurate documentation.

This part-time role in New Jersey involves preparing enrollment packets, maintaining licenses and NPIs, tracking credentialing with payers, and following up on submissions while supporting program readiness and compliance.

Qualifications

• Experience with Medicaid enrollment and managed-care credentialing.
• Experience with ownership disclosures and document tracking.
• Experience with payer follow-up and timely credentialing processes.

Responsabilités

• Prepare provider and practitioner enrollment packets and maintain license/NPI records.
• Track payer credentialing and follow up on submissions.
• Monitor renewals and effective dates; ensure accuracy and compliance.
• Collaborate with leadership, intake, credentialing, billing and quality teams.
• Maintain confidentiality and communicate service gaps; participate in orientation and quality improvement.

Connaissances

Medicaid enrollment

Managed-care credentialing

Ownership disclosures

Document tracking

Payer follow-up

Description du poste

Grace Community Care & Homes is developing its Central Operations department and seeks a Provider Enrollment and Credentialing Specialist. The role will contribute to person-centered services, reliable operations and accurate documentation.

Core responsibilities

Prepare provider and practitioner enrollment packets, maintain license and NPI records, track payer credentialing, follow up on submissions, and monitor renewals and effective dates.

Work collaboratively with department leadership, intake, credentialing, billing and quality teams. Maintain confidentiality, respect participant choice, communicate service gaps promptly, and follow role-specific policies and professional scope. Participate in orientation, competency review and quality improvement.

Program readiness

This is a planned role. Start date and duties are contingent on applicable program approvals, funding, credentialing and staffing readiness. Services may begin only within the approved scope.

Location and schedule

New Jersey. Part-time; assignment and weekly schedule discussed during hiring. Services begin only within approved scope and at approved locations.

Experience with Medicaid enrollment, managed-care credentialing, ownership disclosures, document tracking and payer follow-up. Applicants should provide relevant credentials, experience, availability and a resume. Final regulatory eligibility will be verified before appointment or service delivery. Grace welcomes qualified applicants and provides reasonable accommodations.

Pay: $24-$30 per hour, based on qualifications and relevant experience.

Employment type: Part-time. Weekly hours and start date discussed during hiring; contingent on required approvals and staffing readiness.

Benefits: Paid time off under company policy, including applicable earned sick leave. No other benefits or bonuses currently offered.