Provider Enrollment & Credentialing Specialist

Bookmark Medical; United States; On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Company funded HSA

401(k) with company match

Flexible time off

Job summary

Bookmark Medical is seeking a Provider Enrollment Liaison to manage end-to-end enrollment, revalidations, and updates with contracted payers to support timely reimbursement and compliance.

You will collaborate with Network Operations, Revenue Cycle Management, and the Referral Team to streamline provider enrollment across Medicare, Medicaid, and major commercial payers nationwide, ensuring accurate data in CAQH, NPPES, PECOS, Availity, and payer portals.

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.
• Maintain accurate provider data in SalesForce and Availity for all providers. And, accurate provider data in CAQH profiles, 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 and external stakeholders regarding enrollment status.
• Stay current on regulatory and contracted payer changes impacting provider enrollment processes.

Skills

Attention to detail

Organizational skills

Written communication

Verbal communication

Follow-up skills

Multitasking

Prioritization

Education

Associates or Bachelor's degree preferred

Tools

CAQH

PECOS

NPPES

Availity

Job description

Bookmark Medical is seeking a Provider Enrollment Liaison to manage end-to-end enrollment, revalidations, and updates with contracted payers to support timely reimbursement and compliance.

You will collaborate with Network Operations, Revenue Cycle Management, and the Referral Team to streamline provider enrollment across Medicare, Medicaid, and major commercial payers nationwide, ensuring accurate data in CAQH, NPPES, PECOS, Availity, and payer portals.