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Provider Enrollment Inspector Jobs (NOW HIRING)

Dalton State College

Enrollment Advisor

Dalton, GA · On-site

Provides information on transfer credits. Advises students on financial aid processes and ... inspection upon request. Equal Employment Opportunity Equal opportunity and decisions based on ...

WHEDco Careers Page

Home Visitor Specialist

Bronx, NY · On-site

$82K - $83K/yr

Conduct on site inspections of currently enrolled legally exempt family childcare providers to determine whether such caregivers are in compliance with New York State Health and Safety Standards.

City of New Berlin, WI

Lead Inspector

New Berlin, WI · On-site

$39.97 - $53.96/hr

Provides various permit and inspection information to division customers via the phone, on-site ... Benefits are subject to change and may not be enrolled in without meeting qualifying event ...

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Provider Enrollment Inspector information

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$12

$23

$39

How much do provider enrollment inspector jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for provider enrollment inspector 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 is the difference between Provider Enrollment Inspector vs Provider Enrollment Specialist?

AspectProvider Enrollment InspectorProvider Enrollment Specialist
Required CredentialsTypically requires healthcare-related certifications or experience, knowledge of enrollment processesSimilar credentials, often with additional administrative or customer service training
Work EnvironmentGovernment agencies, healthcare organizations, regulatory bodiesHealthcare providers, insurance companies, administrative offices
Employer & Industry UsageUsed in regulatory and compliance roles within healthcare industryCommon in healthcare administration and provider onboarding
Search & Comparison IntentUnderstanding roles related to provider enrollment inspections and complianceLooking for roles focused on provider enrollment processes and support

While both roles involve provider enrollment, the Provider Enrollment Inspector primarily focuses on inspecting and ensuring compliance with enrollment standards, whereas the Provider Enrollment Specialist handles the onboarding and administrative support for providers. Both roles require healthcare knowledge and are vital in healthcare administration, but they differ in their specific responsibilities and focus areas.

How do you become a provider enrollment inspector?

To become a provider enrollment inspector, candidates typically need a background in healthcare administration, compliance, or related fields, along with knowledge of provider enrollment processes. Relevant experience in auditing, verification, or regulatory environments is often required, and some positions may require certification or training specific to the agency or organization overseeing provider enrollment.

How to become a provider enrollment inspector?

To become a provider enrollment inspector, candidates typically need a background in healthcare administration, compliance, or related fields, along with knowledge of provider enrollment processes. Relevant experience in auditing, verification, or regulatory environments is often required, and some positions may require certification or training specific to the agency or organization. Strong attention to detail and familiarity with healthcare regulations are essential for this role.

What cities are hiring for Provider Enrollment Inspector jobs?

Cities with the most Provider Enrollment Inspector job openings:

What states have the most Provider Enrollment Inspector jobs?

States with the most job openings for Provider Enrollment Inspector jobs include:

What are popular job titles related to Provider Enrollment Inspector jobs?

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

Infographic showing various Provider Enrollment Inspector job openings in the United States as of June 2026, with employment types broken down into 3% As Needed, 86% Full Time, 8% Part Time, and 3% Contract. Highlights an 44% Physical, and 56% Remote job distribution, with an average salary of $47,922 per year, or $23 per hour.

Credentialing Specialist

Grand Forks, ND • On-site

Rural Psychiatry Associates
See more jobs at Rural Psychiatry Associatesexternal

$20/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 20 days ago

Job description

Rural Psychiatry Associates is seeking a Credentialing & Enrollment Specialist to join our growing team! If you are a detail-oriented professional with experience in credentialing, compliance, and provider enrollment, this is your opportunity to make a meaningful impact in the field of mental health care.
Why Join Us?
At Rural Psychiatry Associates, our mission is to deliver high-quality mental health care to communities with limited access to services. We provide in-person and telemedicine care to patients of all ages through hospitals, clinics, schools, and senior living facilities across North Dakota, South Dakota, Montana, Minnesota, Utah, Alaska, and beyond.
As a Credentialing & Enrollment Specialist, you will play a crucial role in ensuring that our medical and professional staff are properly credentialed and enrolled with insurance payers. Your expertise will help maintain compliance with accreditation and regulatory requirements, allowing our providers to focus on delivering exceptional care.
The Role: What to Expect
  • Location: Based in our Grand Forks, ND office.
  • Credentialing & Compliance: Manage the credentialing and re-credentialing process for all medical and professional staff, ensuring adherence to regulations.
  • Insurance Enrollment: Oversee provider enrollment with Medicare, Medicaid, Blue Shield, and other third-party payers.
  • Regulatory & Accreditation Support: Maintain credentialing files, verify licenses, and assist with audits and inspections.

Key Responsibilities
  • Distribute and process complete credentialing applications for medical staff seeking privileges at Rural Psychiatry Associates and affiliated healthcare facilities.
  • Manage initial applications, reappointments, and temporary privileges according to policies, Medical Staff Bylaws, and regulatory agency standards.
  • Prescreen applicants to ensure they meet the minimum criteria before initiating the credentialing process.
  • Obtain and verify all necessary documents for credentialing, including licenses, certifications, and malpractice insurance.
  • Maintain credentialing files and ensure accurate documentation for audits and accreditation inspections.
  • Verify staff licenses and credentials for initial appointments, renewals, and temporary privileges.
  • Submit completed credentialing materials to the Medical Director and flag any concerns for review.
  • Monitor time frames for each step of the credentialing and enrollment process.
  • Conduct ongoing queries with state agencies and the National Practitioner Data Bank (NPDB) regarding licensure and disciplinary actions.
  • Ensure compliance with state and federal regulations, accreditation requirements, and Medical Staff Bylaws.
  • Manage the facility's Continuing Medical Education (CME) functions and maintain related documentation.
  • Coordinate credentialing committee meetings and take meeting minutes.
  • Maintain an up-to-date physician database, including medical licenses, DEA certificates, liability insurance, and expiration dates.
  • Provide training and education to medical staff on credentialing and enrollment processes as needed.
  • Assist in the development and implementation of administrative policies related to credentialing and billing.

What We're Looking For
  • High school diploma or equivalent required; associate's or bachelor's degree preferred.
  • Previous experience in medical credentialing, provider enrollment, or healthcare administration required.
  • Strong knowledge of credentialing requirements, regulatory compliance, and insurance payer enrollment.
  • Excellent attention to detail and ability to manage multiple priorities in a fast-paced environment.
  • Proficiency with credentialing databases, electronic health records (EHR), and Microsoft Office Suite.
  • Strong organizational and time management skills.
  • Ability to handle confidential information with professionalism and discretion.
  • Knowledge of HIPAA regulations and medical staff bylaws.

What We Offer
As we support and care for our patients, we also prioritize the well-being of our team members. Our benefits include:
  • Medical, Dental & Vision Insurance
  • Long & Short-Term Disability Insurance
  • Life Insurance
  • 401(k) Retirement Plan
  • Generous Paid Time Off (accrual based on hours worked)
  • Paid Holidays

If you're looking for a rewarding career in healthcare administration where you can truly make a difference, apply today!

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