Provider Enrollment and Credentialing Specialist

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

Benefits offered by this job

Paid time off

Sick leave

Job summary

Grace Community Care & Homes is developing its Central Operations department and seeks a Provider Enrollment and Credentialing Specialist to support person-centered services, reliable operations and accurate documentation. The role requires preparing enrollment packets, maintaining licenses and NPI records, tracking payer credentialing, and following up on submissions.

You will work with leadership, intake, credentialing, billing and quality teams to ensure confidentiality, timely updates and

Qualifications

• 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.

Responsibilities

• Prepare provider and practitioner enrollment packets.
• Maintain license and NPI records.
• Track payer credentialing, follow up on submissions, and monitor renewals.
• Collaborate with department leadership, intake, credentialing, billing and quality teams.
• Maintain confidentiality and follow role-specific policies; participate in orientation and quality improvement.

Skills

Provider Enrollment

Credentialing

Medicaid enrollment

NPI records

Payer follow-up

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.