Credentialing and Enrollments Specialist

MODENA

Credentialing Specialist managing the credentialing, payer enrollment, and onboarding processes for physicians and advanced practice providers in allergy and asthma care. Supporting billing and patient care operations in a fast-paced healthcare environment.

Posted 7/27/2026full-timeRemote • Arizona, California, Colorado, New Mexico, South Carolina • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in provider credentialing and payer enrollment processes, ensuring timely and accurate management of provider records and compliance with commercial and government payers. Strong organizational and communication skills are essential for managing multiple deadlines in a fast-paced healthcare environment.

Highest-signal resume keywords

Provider CredentialingPayer EnrollmentCAQHCredentialStreamMicrosoft Office Suite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Provider OnboardingMedical Staff ServicesHealthcare AdministrationCredentialing DatabasesHospital PrivilegingAttention to DetailProblem-Solving

Soft Skills

Organizational SkillsWritten CommunicationVerbal CommunicationTask PrioritizationCollaboration

Tools & Technologies

EHR SystemsPractice Management SoftwareOnline Credentialing PortalsPayer Enrollment Portals

Industry Keywords

Commercial PayersGovernment PayersHealthcare EnvironmentSpecialty Medical Practices

About the role

Key responsibilities & impact

The Credentialing & Enrollments Specialist is responsible for managing the credentialing, payer enrollment, and provider onboarding processes for the practice’s physicians and advanced practice providers.
This role ensures providers are credentialed, enrolled, and maintained with commercial and government payers in a timely and accurate manner to support uninterrupted billing and patient care operations.
The specialist maintains provider records, monitors credentialing deadlines, coordinates with payers and providers, and serves as a key resource for credentialing and insurance operations.
This position requires strong organizational skills, attention to detail, and the ability to manage multiple deadlines in a fast-paced healthcare environment.
This role is non-exempt (hourly) and full-time, 40 hours per week, Monday through Friday. Occasional overtime may be required to meet credentialing deadlines or business needs.

Requirements

What you’ll need

High school diploma or equivalent required.
Associate degree or higher preferred.
Minimum of 2 years of experience in provider credentialing, payer enrollment, medical staff services, or healthcare administration required.
Experience with commercial and government payer enrollment processes strongly preferred.
Working knowledge of CAQH, PECOS, NPPES, and payer enrollment portals required.
Experience maintaining provider records and credentialing databases, including CredentialStream or similar credentialing software.
Experience with hospital privileging and provider onboarding preferred.
Prior experience in allergy, asthma, or specialty medical practices is a plus.
Strong attention to detail and organizational skills.
Excellent written and verbal communication skills.
Ability to prioritize tasks and manage multiple deadlines effectively.
Ability to work independently and collaboratively in a remote environment.
Proficiency in Microsoft Office Suite, EHR systems, practice management software, and online credentialing portals.
Strong problem-solving and follow-up skills.

Benefits

Comp & perks

Competitive salary and benefits package, including medical, dental & vision insurance, 401(k) retirement plan with employer matching, and professional development opportunities
In addition, we offer paid time Off (PTO), sick time, floating holiday and holiday pay
Opportunity to shape the future of a thriving allergy and asthma practice in beautiful San Diego (and across our expanding network)
A supportive, mission-focused culture where your contributions directly impact patient outcomes and team growth