Provider Credentialing & Enrollment Operations Coordinator

Enlightened, Inc.Washington, DC
Hybrid

About The Position

Enlightened is looking for a Provider Credentialing & Enrollment Operations Coordinator to support the credentialing process for new and existing providers. This role helps ensure providers are credentialed, enrolled, and activated accurately and on time. This position requires strong organization, attention to detail, and the ability to coordinate with both internal teams and external providers.

Requirements

  • Strong attention to detail and ability to manage multiple tasks
  • Clear and professional communication skills
  • Experience with credentialing systems, ticketing tools, and Microsoft Office
  • Ability to work independently in a fast-paced environment

Nice To Haves

  • Experience in provider credentialing, enrollment, healthcare administration, or similar work preferred

Responsibilities

  • Prepare and submit provider credentialing and enrollment applications
  • Review applications for completeness and accuracy before submission
  • Track credentialing status across systems and follow up as needed
  • Contact providers to obtain missing or additional documentation
  • Submit tickets to initiate provider setup and system access
  • Route and track tickets to the appropriate teams through completion
  • Work with internal teams to verify information and resolve issues
  • Perform quality checks before provider activation
  • Maintain organized, audit-ready files and tracking logs
  • Assist with reporting and process improvements

Benefits

  • Medical/Dental/Vision Insurance with Health Savings Accounts (HSA)
  • Flexible Spending Accounts (FSA)
  • 401(k) Retirement Plan
  • Paid Holidays, Vacation, & Sick Leave
  • Professional Training & Development Reimbursement

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

No Education Listed

Number of Employees

11-50 employees

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