Provider Enrollment and Credentialing Specialist

Grace Community Care and Homes Inc.; Hamilton Township (OH); On-site; USD 33,000 - 41,000; Part time

Benefits offered by this job

Paid time off

Sick leave

Job summary

Grace Community Care and Homes Inc. in New Jersey is seeking a Provider Enrollment and Credentialing Specialist to support Medicaid enrollment, licensing, NPI management, and payer follow-up.

The role focuses on accurate documentation, coordination with credentialing teams, and timely renewals, contributing to reliable operations and person-centered services. This part-time position offers weekly scheduling discussions during hiring; pay ranges from $24 to $30 per hour, depending on

Qualifications

• Experience with Medicaid enrollment and managed-care credentialing.
• Experience with ownership disclosures and payer follow-up.
• Ability to track documents and manage renewals.
• Excellent communication with providers and payers.

Responsibilities

• Prepare enrollment packets for providers and practitioners and maintain license and NPI records.
• Track payer credentialing, follow up on submissions, and monitor renewals and effective dates.
• Collaborate with leadership, intake, billing, credentialing, and quality teams.
• Maintain confidentiality and ensure compliance with program policies.

Skills

Medicaid enrollment

Payer credentialing

Document tracking

Follow-up with payers

Ownership disclosures

Job description

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.