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Provider Enrollment Credentialing Jobs (NOW HIRING)

e-MDs

Credentialing Specialist

Hauppauge, NY · Remote

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 · Remote

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 · Remote

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 · Remote

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 ... Reports to Director of Credentialing and CVO. Essential Duties and Responsibilities • Provides ...

GDIT

Provider Enrollment Specialist

Bossier City, LA · On-site +1

$26.44 - $35.78/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 Jun 11, 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:
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 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 Assistant

Cahaba Medical Care Foundation

Centreville, AL • On-site

Full-time

Posted yesterday

Job description

Reports to: Enrollment Coordinator

Job Type: Full Time, Hourly



Background: Cahaba Medical Care Foundation is a community health center providing medical, pharmacy, dental, and behavioral health services to diverse underserved communities in Jefferson, Bibb, Perry, Chilton, and Wilcox counties. We are a Level 3 Patient-Centered Medical Home and Joint Commission-accredited organization, committed to increasing integration and coordination of behavioral health and primary care. This is an exciting, fast-paced practice with a strong mission and commitment to providing high-quality care.


Purpose: The Provider Enrollment Assistant assists the Enrollment Coordinator and Provider Enrollment Specialist in ensuring that all documents are on file and health care providers are properly enrolled with payers so that claims filed for payment are not denied due to enrollment-related errors or omissions.

Responsibilities and Duties:

  • Assist in preparing and submitting enrollment applications for physicians and allied health professionals, and facilities with government and third-party payers

  • Assist in monitoring and coordinating activity regarding new enrollments to ensure that all providers are enrolled with all assigned payers

  • Assist in the process and monitoring of hospital privilege applications

  • Update the provider directory for changes received from insurers

  • Troubleshoot and resolve payer issues related to enrollment/credentialing

  • Maintain each provider's CAQH account (Council for Affordable Quality Healthcare) to ensure continuous accuracy

  • Coordinate provider onboarding

  • Act as a liaison between insurance companies, hospitals, and other facilities and parties regarding enrollment issues

  • Ensure that all required insurance credentialing documentation on file is current

  • Collaborate with the Enrollment Coordinator on problem-solving, continuous improvement, and issue resolution

  • Maintain a detailed log/spreadsheet of all pending and completed tasks and enrollments

  • Communicate enrollment status with the supervisor on a regular basis

  • Assist with special projects and information requests

Attributes Required:

Work Ethic: an intrinsic drive to excel

Integrity: an indisputable reputation for honesty

Values: demonstrated passion for Cahaba Medical Care's Core Cultural Competencies Confidentiality: disciplined sensitivity regarding confidential information

Skills and Qualifications:

Required

  • Attention to detail

  • Ability to manage workload so that tasks and projects are completed on schedule. Effectiveness in communicating with and influencing action from providers, clinicians, and professionals in the insurance industry

  • Proficiency with laptop functions, electronic spreadsheets and documents (Google Sheets and Google Docs), and internet interactions

  • Affinity for both simple tasks and complex projects

Preferred

  • Familiarity with enrollment and credentialing processes

  • Experience in enrolling healthcare providers with various payers