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Director Provider Enrollment Credentialing Jobs

$125K - $200K/yr

Job Posting Description Position Summary The Director of Provider Enrollment provides strategic and operational leadership for provider and facility enrollment across Boston Children's Hospital, the ...

RESPONSIBILITIES AND DUTIES 1. Works directly with health center staff to ensure efficient and accurate provider insurance credentialing and enrollment. * Manages timely communications with health ...

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Director Provider Enrollment Credentialing information

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How much do director provider enrollment credentialing jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for director provider enrollment credentialing in the United States is $23.04, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $24.76 per hour, depending on experience, location, and employer.

What are popular job titles related to Director Provider Enrollment Credentialing jobs?

For Director Provider Enrollment Credentialing jobs, the most frequently searched job titles are:

Infographic showing various Director Provider Enrollment Credentialing job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 77% Full Time, 14% Part Time, and 6% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $47,922 per year, or $23 per hour.

Provider Enrollment/Credentialing Specialist

Remote

MEDIC MANAGEMENT GROUP LLC
51 - 200 employees

$19 - $23/hr

Other

Re-posted 11 hours ago


Job description

Job Type
Full-time
Description
DESCRIPTION:
This position will be responsible for credentialing new and established health care providers, and maintenance of information to include application completion, follow up, data collection, data entry, and document review. Depending on the skill set and experience of the candidate selected, there may also be the opportunity to perform billing duties.
RESPONSIBILITIES:

  • Collect, update and maintain necessary provider information and documentation and verify the information where possible.
  • Establish and maintain data entry in CAQH.
  • Prepare credentialing applications for all initial applications and reappointments in a timely and complete manner.
  • Verify provider and group information with insurance companies (addresses, provider rosters, contracted plans, provider numbers, etc).
  • Coordinate information for enrollment and terminations of all providers.
  • Maintain good rapport and professional communication with Health Plan Representatives.
  • Handle enrollment with Medicare, Medicaid, and commercial insurances in multiple states.
  • Build strong working relationships with medical facilities and provider offices.
  • Adhere to department policies and procedures including timely delivery of completed work and use of resources.
  • Responsible for entering, updating, maintaining NPI and any other applicable provider numbers.
  • Provide concise, timely communication to appropriate leadership regarding potential credentialing issues.
  • Proactively share knowledge with colleagues.
  • Perform analysis and appropriate follow-up of each initial application and reappointment.
  • Work with physicians, professional staff and physicians' office staff to acquire necessary materials and information.
Requirements
QUALIFICATIONS:
  • High school diploma or equivalent
  • Minimum 3 years of credentialing experience
  • Billing knowledge and experience preferred
  • Prior experience with FQHC and Behavioral Health necessary.
  • Current knowledge of provider enrollment processes with Medicare, Medicaid, and commercial insurances
  • Working knowledge of Availity, PECOS, etc. is required.
  • Proficiency in MS Office, primarily Word, Outlook, Excel
  • Excellent interpersonal skills to communicate with medical staff, providers and clients
  • Detail orientation
  • Ability to abide by HIPPA standards and requirements
  • Ability to multi-task
  • Ability to work as a team player
  • Ability to handle confidential information in a professional manner
  • Willingness to take on new tasks and responsibilities
  • Capable of taking the initiative to accomplish tasks
  • Strong time management and organization skills
  • Excellent problem solving and decision-making abilities
PHYSICAL DEMANDS:
  • Work may require sitting for long periods of time.
  • Operating a computer, keyboard, telephone, fax, or other such office equipment through a normal business day.
  • Vision must be correctable to 20/20 for viewing information on computer screen and reading information in a paper format.
  • Hearing must be in the normal range for telephone contacts.
  • Will require viewing computer screen and typing on a keyboard for prolonged periods of time.

Salary Description
$19.00 to $23.00 per hour