Provider Enrollment & Credentialing Specialist

Bookmark Medical; Nashville (TN); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

HSA

401(k)

Life insurance

Flexible time off

Vacation Exchange Program

Job summary

Bookmark Medical in Nashville is seeking a Provider Enrollment Liaison to manage end-to-end enrollment and revalidation for providers, ensuring timely submissions to payers and compliance with state and federal requirements. This role collaborates across teams to keep data accurate and enrollment on track.

You will work with Network Operations, Revenue Cycle Management, and the Referral Team to resolve enrollment issues, maintain provider data, and support timely reimbursement.

Qualifications

• Associates or Bachelor's degree preferred, proven equivalent experience accepted.
• 2-4 years of proven experience in provider enrollment or credentialing.
• Knowledgeable of Medicare, Medicaid, and major commercial payers across multiple states.
• Strong attention to detail and organizational skills.
• Excellent written and verbal communication and follow-up skills.
• Proficient with CAQH, PECOS, NPPES, Availity and payer specific portals.
• Ability to manage multiple priorities and deadlines independently.

Responsibilities

• Coordinate and submit enrollment and revalidation applications for all new and existing providers with contracted payers to enable them to begin and continue seeing patients.
• Ensure employed providers are properly enrolled with Medicare and Medicaid to enable them to begin and continue seeing patients.
• Maintains accurate provider data in SalesForce and Availity for all providers; CAQH, NPPES, PECOS and payer portals for employed providers.
• Monitor enrollment status and perform regular follow up with contracted payers to resolve enrollment issues and expedite processing when necessary.
• Track and maintain revalidation dates to ensure continuous participation with contracted payers.
• Serve as the primary point of contact for providers and internal/external stakeholders regarding enrollment status.
• Stay current on regulatory and contracted payer changes impacting provider enrollment processes.

Skills

Attention to detail

Organizational skills

Written and verbal communication

Time management

Regulatory knowledge

Education

Associates or Bachelor's degree preferred

Tools

CAQH

PECOS

NPPES

Availity

Payer portals

Job description

Bookmark Medical in Nashville is seeking a Provider Enrollment Liaison to manage end-to-end enrollment and revalidation for providers, ensuring timely submissions to payers and compliance with state and federal requirements. This role collaborates across teams to keep data accurate and enrollment on track.

You will work with Network Operations, Revenue Cycle Management, and the Referral Team to resolve enrollment issues, maintain provider data, and support timely reimbursement.