Provider Enrollment & Credentialing Specialist

Bridgeview Eye Partners; Wabash (IN); On-site; USD 25,000 - 34,000; Full time

Benefits offered by this job

Competitive hourly wage

Paid holidays + 2 Floating Holidays

Approximately 10 days of PTO within第一年

401(k)

Job summary

Bridgeview Eye Partners is seeking a detail-oriented Provider Enrollment Specialist to join our Credentialing team. In this role, you’ll play an important part in ensuring our providers and facilities are successfully enrolled with government, managed care, and commercial payers so our patients can continue to receive exceptional eye care without interruption.

If you enjoy managing details, solving problems, working across departments, and keeping complex processes moving forward, this could be

Qualifications

• High school diploma or equivalent.
• At least 3 years of healthcare experience in payer relations, market access, managed care, provider enrollment, credentialing, or a related field.
• Strong organizational skills and exceptional attention to detail.
• Proficiency with Microsoft Office, including Outlook, Teams, Word, and Excel.
• Ability to manage multiple priorities, meet deadlines, and maintain accuracy.
• Strong communication and customer service skills.
• Demonstrated accountability, professionalism, and integrity.

Responsibilities

• Manage provider and facility payer enrollment applications from preparation through completion, ensuring accuracy and timely submission.
• Collect, review, and verify documentation required for provider and facility enrollments.
• Complete payer enrollment, hospital credentialing, professional licensure, and related applications in accordance with payer requirements and government regulations.
• Maintain accurate information across credentialing and enrollment databases and payer portals, including Availity, CAQH, NaviNet, NPPES, and PECOS.
• Monitor pending applications, identify deficiencies, and work proactively to resolve issues and keep enrollments on track.
• Research and resolve provider and facility enrollment issues by partnering with internal teams and external payer contacts.
• Monitor revalidations, license renewals, and other required updates to ensure providers remain compliant and enrolled.
• Support the Credentialing Manager with new facilities, locations, and providers as Bridgeview Eye Partners continues to expand into new markets.
• Escalate complex or unresolved credentialing and enrollment issues appropriately.
• Provide responsive, professional support to internal stakeholders throughout the enrollment process.

Skills

Strong organizational skills

Attention to detail

Multitasking

Communication skills

Education

High school diploma or equivalent

Bachelor’s degree in Business Administration or related field

Tools

Microsoft Office (Outlook, Teams, Word, Excel)

Job description

Bridgeview Eye Partners is seeking a detail-oriented Provider Enrollment Specialist to join our Credentialing team. In this role, you’ll play an important part in ensuring our providers and facilities are successfully enrolled with government, managed care, and commercial payers so our patients can continue to receive exceptional eye care without interruption.

If you enjoy managing details, solving problems, working across departments, and keeping complex processes moving forward, this could be