Provider Enrollment/Credentialing Specialist

TEKsystems•Mountain View, CA

2d•$23 - $23•Remote

About The Position

Manage end-to-end payer 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.

Requirements

1–2 years of experience in provider enrollment, credentialing, or healthcare administration.
Strong understanding of Medicare, Medicaid, and commercial insurance enrollment processes.
Excellent organizational, communication, and problem-solving skills.
Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
Familiarity with CAQH

Responsibilities

Manage end-to-end payer 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