Provider Enrollment & Credentialing Specialist

WillHire, Inc; Philadelphia (Philadelphia County); On-site; USD 42,000 - 55,000; Full time

Benefits offered by this job

Stipends for clinical traveler workers

Medical coverage

Dental coverage

Vision coverage

401K

Job summary

WillHire, Inc. is seeking an Enrollment Coordinator to verify practitioner information and manage compliance data across enrollment and re-credentialing workflows. You will process applications, verify licensing, and maintain accurate practitioner files.

The role requires experience in insurance verification or provider relations, familiarity with Medicare/Medicaid policies, and proficiency with MS Word, Excel, and PowerPoint. Strong organization and collaboration skills are essential.

Qualifications

• High School Diploma or GED required.
• Associate's Degree preferred.
• At least two years of experience in insurance verification, billing, and/or provider relations.

Responsibilities

• Gather and verify healthcare practitioner information and track all compliance information.
• Process incoming applications to ensure accuracy and completeness.
• Verify licensing and certification documentation.
• Maintain file functions such as updating service locations and rendering provider information, licensure, and ownership details.

Skills

Insurance verification

Billing operations

Provider relations

Medicare knowledge

Medicaid knowledge

MS Word

MS Excel

MS PowerPoint

Critical thinking

Analytical skills

Organizational skills

Education

High School Diploma/GED

Associate's Degree

Tools

ECHO

NAVINET

CAQH

Job description

WillHire, Inc. is seeking an Enrollment Coordinator to verify practitioner information and manage compliance data across enrollment and re-credentialing workflows. You will process applications, verify licensing, and maintain accurate practitioner files.

The role requires experience in insurance verification or provider relations, familiarity with Medicare/Medicaid policies, and proficiency with MS Word, Excel, and PowerPoint. Strong organization and collaboration skills are essential.