Medicare Credentialing Specialist

TEKsystems•Mountain View, CA

1d•$23 - $23•Remote

About The Position

We are seeking three detail-oriented and driven Medicare Credentialing Specialists to support high-volume provider enrollment and credentialing operations. This role is ideal for individuals who are highly organized, tech-savvy, and eager to build or grow their career in Medicare enrollment and provider services.

Requirements

Minimum 1 year of relevant experience (Medicare 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 Medicare participation

Responsibilities

Manage end-to-end Medicare 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