Provider Enrollment & Credentialing SpecialistCFS • Pittsburgh, PA, US
Provider Enrollment & Credentialing Specialist
CFS • Pittsburgh, PA, US
[job_card.variable_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]Manage the full credentialing and re-credentialing lifecycle for physicians, NPs, PAs, and other clinical providers. Collect, verify, and validate provider documentation, licensure, certifications, and background information. Submit and track credentialing and provider enrollment applications with commercial payers, Medicare, and Medicaid. Maintain accurate and up-to-date records in credentialing systems (CAQH, Availity, etc.). Monitor expirations and proactively manage renewals and compliance timelines. Partner closely with providers, payers, and internal departments to ensure onboarding is seamless. Support audits, compliance reviews, and NCQA / CMS standards. 2+ years of experience in provider credentialing, provider enrollment, or medical staff services. Working knowledge of credentialing guidelines, payer enrollment processes, and healthcare regulatory requirements. Strong attention to detail, organization, and ability to manage multiple priorities simultaneously.
Provider Enrollment & Credentialing Specialist
Pittsburgh, PA 15218
$50,000 - $60,000
Are you the kind of person who loves organization, accuracy, and keeping things moving behind the scenes? Our client-a growing, mission-driven community health organization-is looking for a Provider Enrollment & Credentialing Specialist to help ensure their providers can deliver care quickly and compliantly.
This role is perfect for someone who thrives in a fast-paced environment, values process and wants to make a direct impact on access to care in the Pittsburgh community.
Why This Role Stands Out
- Make an impact : Your work ensures patients get timely access to care.
- Mission-focused environment : Collaborative team that cares about the community.
- Career growth : Opportunity to expand into provider enrollment, compliance, and payer relations.
- Stability & benefits : Competitive pay, solid benefits, and strong leadership support.
What You'll Do
What You Bring
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Provider Enrollment Specialist • Pittsburgh, PA, US
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