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Provider Enrollment Credentialing Jobs (NOW HIRING)

e-MDs

Credentialing Specialist

Hauppauge, NY · On-site

Summary of Job Responsible for preparing provider enrollment applications, demographic updates and ... Maintain up-to-date data for each provider in credentialing databases and online systems; ensure ...

e-MDs

Credentialing Specialist

Hauppauge, NY · On-site

Summary of Job Responsible for preparing provider enrollment applications, demographic updates and ... Maintain up-to-date data for each provider in credentialing databases and online systems; ensure ...

Infinx Healthcare

Provider Enrollment Specialist

$22 - $26/hr

They will also review provider credentialing and/or recredentialing data for accuracy based on ... Resolves enrollment issues through collaboration with physicians, non-physicians, office staff ...

e-MDs

Credentialing Specialist

Hauppauge, NY · On-site

Summary of Job Responsible for preparing provider enrollment applications, demographic updates and ... Reports to Director of Credentialing and CVO. Essential Duties and Responsibilities • Provides ...

e-MDs

Credentialing Specialist

Hauppauge, NY · On-site

Summary of Job Responsible for preparing provider enrollment applications, demographic updates and ... Reports to Director of Credentialing and CVO. Essential Duties and Responsibilities • Provides ...

GDIT

Provider Enrollment Specialist

Bossier City, LA · Hybrid

$20.98 - $24.15/hr

No As a Provider Enrollment Specialist, you will be responsible for coordinating and managing the ... Credentialing: Ensure providers meet credentialing requirements by verifying education, training ...

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Provider Enrollment Credentialing information

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How much do provider enrollment credentialing jobs pay per hour?

As of Sep 5, 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 the key skills and qualifications needed to thrive as a provider enrollment credentialing specialist?

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.

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.

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:

What job categories do people searching Provider Enrollment Credentialing jobs look for?

The top searched job categories for Provider Enrollment Credentialing jobs are:

Provider Enrollment Credentialing jobs near you
Infographic showing various Provider Enrollment Credentialing job openings in the United States as of August 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 76% Full Time, 16% Part Time, and 5% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $50,665 per year, or $24.4 per hour.

Credentialing Specialist

e-MDs

Hauppauge, NY • On-site

Full-time

Re-posted 18 days ago

Job description

 
Summary of Job
 
Responsible for preparing provider enrollment applications, demographic updates and tracking metrics for all eligible provider types. Ensure enrollment activities meets federal, state and department guidelines when processing application submissions. Maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications. Reports to Director of Credentialing and CVO.
 
 
Essential Duties and Responsibilities
 
• Provides support Credentialing Account Manager.
• Compiles and maintains current and accurate data for all providers.
• Completes provider enrollment credentialing and re-credentialing applications; monitors applications and follows-up as needed.
• Build knowledge base for payer requirements and forms.
• Assist with filing, scanning and mailing as needed.
• Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
• Prepare and send provider demographic updates.
• Track license and certification expirations for all providers to ensure timely renewals.
• Generate and send sign pages/application to client.
• Additional projects as assigned.
 

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