Remote Credentialing Lead for Medicare & Payer Enrollment

Prime Credential; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

A healthcare credentialing service is seeking a diligent Credentialing Enrollment Lead to manage enrollment and credentialing for providers. The role combines leadership and execution in a remote setting, focusing on compliance and efficiency in processing with Medicare and commercial payers. Candidates should have experience with payer-specific processes and the ability to support team coordination while working independently. Ideal candidates are highly organized with excellent communication skills.

Qualifications

• Minimum 5 years of experience in provider enrollment or payer-focused credentialing.
• Strong understanding of Medicare and commercial payers.
• Experience working with credentialing software is preferred.

Responsibilities

• Lead credentialing operations ensuring accuracy and timely completion.
• Act as primary liaison for provider enrollment.
• Maintain compliance with regulatory guidelines and company standards.

Skills

Attention to detail

Organizational skills

Strong written and verbal communication

Problem-solving

Tech proficiency in Microsoft Office

Leadership and team management

Education

High school diploma or GED

Associate's or bachelor's degree in healthcare administration or business

Tools

CAQH

PECOS

Microsoft Office Suite

Job description

A healthcare credentialing service is seeking a diligent Credentialing Enrollment Lead to manage enrollment and credentialing for providers. The role combines leadership and execution in a remote setting, focusing on compliance and efficiency in processing with Medicare and commercial payers. Candidates should have experience with payer-specific processes and the ability to support team coordination while working independently. Ideal candidates are highly organized with excellent communication skills.