Medicaid Provider Enrollment Credentialing Specialist
About The Position
This is a Contract to Hire position focused on managing the end-to-end Medicaid enrollment processes for healthcare providers. The role involves reviewing daily communications, tracking enrollment statuses, submitting requests on behalf of providers, conducting outreach for missing documentation, and following up on submitted applications. The specialist will maintain accurate records, handle a high volume of requests, and utilize templated email responses while maintaining a professional communication style. The position requires adherence to a structured follow-up cadence and ensuring the legitimacy and compliance of all requests. Support will be provided for both straightforward enrollments and more complex new provider cases.
Requirements
- Minimum 1 year of relevant experience (Medicaid enrollment)
- Strong attention to detail and ability to follow processes accurately
- Comfortable working in a high-volume, fast-paced environment
- Proficiency with MacBook and Google Workspace (Gmail, Sheets, Docs)
- Strong written communication skills with the ability to remain professional, empathetic, and clear
- Ability to manage multiple tasks and stay organized across tools (email + spreadsheets)
- Self-starter mindset with strong problem-solving skills
- Familiarity with systems such as: PECOS (training provided), CAQH, MacBook, Google Sheets
- Strong work ethic and drive to succeed
- “Go-getter” attitude with initiative when facing challenges
- Resourceful and able to work through roadblocks independently
- Collaborative mindset while also comfortable working autonomously
- High level of diligence, especially when reviewing documentation
- Ability to stay organized and maintain focus under high workload
- Genuine care for quality of work and follow-through
- Must pass required screenings, including: OIG (Office of Inspector General) / LEIE screening, Verification that candidate is not excluded from Medicaid participation
Responsibilities
- Manage end-to-end Medicaid enrollment processes for healthcare providers
- Review daily email communications for application approvals and requests
- Track and update enrollment statuses across spreadsheets and internal systems
- Submit requests and complete actions on behalf of providers once authorization is granted
- Conduct outreach to providers to gather missing documentation or required information
- Follow up on submitted applications approximately every 15 days
- Maintain accurate records and ensure all data is properly documented
- Handle a high volume of requests (approximately 20–70 requests per day)
- Utilize templated email responses while maintaining a professional, warm, and clear communication style
- Follow structured follow-up cadence (initial outreach + up to two follow-ups spaced 5–7 days apart)
- Ensure all requests are legitimate and compliant before processing
- Support both straightforward enrollments and more complex new provider cases requiring additional guidance
Benefits
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
