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Provider Enrollment Credentialing Jobs (NOW HIRING)

Job Summary The Provider Enrollment Specialist coordinates Medicare and Medicaid enrollment and re-enrollment, manages provider credentialing and contracting, and supports billing system ...

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Provider Enrollment Credentialing information

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$13

$24

$38

How much do provider enrollment credentialing jobs pay per hour?

As of Jun 12, 2026, the average hourly pay for provider enrollment credentialing in the United States is $24.36, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $27.64 per hour, depending on experience, location, and employer.

What is provider enrollment credentialing?

Provider enrollment credentialing is the process by which healthcare professionals and organizations are verified and approved to participate with insurance plans, government programs, and other payers. It involves collecting and validating information such as education, licenses, certifications, and work history to ensure providers meet specific standards. This process helps maintain the quality of care and compliance with regulations. Credentialing is essential for providers to be reimbursed for services and to ensure patient safety. The process can be lengthy and requires continual updates to maintain participation.

What are some common challenges faced in a Provider Enrollment Credentialing role, and how can they be addressed?

One of the main challenges in Provider Enrollment Credentialing is managing complex and ever-changing payer requirements, which can vary significantly between insurance companies and states. This often requires strong organizational skills and meticulous attention to detail to ensure timely and accurate submission of documentation. Effective communication with providers and payers is essential to resolve discrepancies quickly. Staying up-to-date with regulatory changes and maintaining a well-organized tracking system can help address these challenges and ensure a smoother credentialing process.

What is the difference between Provider Enrollment Credentialing vs Provider Enrollment Specialist?

AspectProvider Enrollment CredentialingProvider Enrollment Specialist
Primary RoleVerifies provider credentials, licenses, and certifications for insurance enrollmentManages the enrollment process, submits applications, and maintains provider records
Required CredentialsLicenses, certifications, and credentialing documentsKnowledge of enrollment procedures and documentation
Work EnvironmentHealthcare organizations, credentialing companiesInsurance companies, healthcare provider offices

Provider Enrollment Credentialing focuses on verifying provider qualifications, while Provider Enrollment Specialists handle the application process and ongoing enrollment management. Both roles are essential in ensuring providers are properly credentialed and enrolled with insurance plans.

What are the key skills and qualifications needed to thrive as a Provider Enrollment Credentialing Specialist, and why are they important?

To thrive as a Provider Enrollment Credentialing Specialist, you need strong attention to detail, organizational skills, and a solid understanding of healthcare compliance and credentialing regulations, often supported by a relevant associate's or bachelor's degree. Familiarity with credentialing software, provider databases, and systems like CAQH, as well as knowledge of payer enrollment processes, is typically required. Excellent communication, problem-solving abilities, and the capacity to manage multiple tasks efficiently are standout soft skills in this role. These skills ensure accurate and timely provider enrollment, compliance with regulatory standards, and smooth healthcare operations.
More about Provider Enrollment Credentialing jobs
What cities are hiring for Provider Enrollment Credentialing jobs? Cities with the most Provider Enrollment Credentialing job openings:
What states have the most Provider Enrollment Credentialing jobs? States with the most job openings for Provider Enrollment Credentialing jobs include:
Infographic showing various Provider Enrollment Credentialing job openings in the United States as of June 2026, with employment types broken down into 61% Full Time, 28% Part Time, and 11% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $50,665 per year, or $24.4 per hour.
Provider Enrollment Coordinator

$25/hr

Other

Medical, Dental, Vision, Life, Retirement

Posted 11 days ago


Job description

Job Title: Coordinator III – Enrollment (Behavioral Health) Location: Cumberland, RI (Onsite) Schedule: Monday – Friday, 7:30 AM – 4:00 PM Pay rate: $25/hour, paid biweekly About the Role: Support behavioral health provider enrollment by managing applications, documentation, and payer coordination to ensure accurate and timely processing. Key Responsibilities Complete government and commercial payer enrollment applications for behavioral health providers and groups Submit initial enrollments and revalidations for providers Maintain and update credentialing and enrollment records Track application status, follow-ups, and in-process tasks within systems Communicate with providers via phone and email to obtain required information Collaborate with credentialing teams, regional leadership, and AR partners to resolve enrollment and claims issues Manage payer portals and maintain user access Handle mail-based documentation and onsite workflows Participate in team meetings and conference calls as needed Assist with updates to enrollment procedures and documentation processes Required Qualifications High school diploma or GED Strong organizational skills and attention to detail Ability to manage multiple tasks and deadlines Strong written and verbal communication skills Comfortable working onsite and handling physical mail workflows Ability to work independently and as part of a team Highly Preferred 1–2 years of experience with government payers (Medicare/Medicaid) Experience in provider enrollment, credentialing, or insurance operations Bachelor’s degree in Business, Healthcare Administration, or related field Experience working with payer portals or enrollment systems Core Competencies Data accuracy & documentation tracking Provider enrollment & credentialing support Communication & cross-team collaboration Process adherence & workflow management System navigation & portal management Benefits Health, dental, vision, and life insurance after 90 days Short-term disability coverage 401(k) with company match (eligible after 1 year) Additional Details: Fully onsite role due to physical mail handling requirements Interview process: 1 round (virtual via Microsoft Teams) Quick turnaround hiring process (1–2 business days post-review) Interested? Text 469-890-1205 , email mmeredith@alinestaffing.com , or apply today!


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About A-Line Staffing Solutions

Sourced by ZipRecruiter

A-Line Staffing Solutions is an established full-service recruiting and staffing provider that operates in the industry of human resources and recruitment. Based in Utica, Michigan, A-Line Staffing Solutions has been committed to its mission of providing innovative and effective workforce solutions since its foundation. The company specializes in providing high-quality staffing solutions for a range of disciplines, including Information Technology, Professional, Administrative, Healthcare, and more. A-Line prides itself on its ability to offer comprehensive and tailored staffing solutions in line with the varying needs of different businesses, which has played a crucial role in the company's growth and success.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Utica, MI, US

Year founded

2004

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