Credentialing Specialist / Provider Enrollment Specialist

Seasons Psychotherapy Associates

Credentialing Specialist managing payer enrollment and credentialing for a behavioral health group practice. Ensuring timely enrollment for clinicians while maintaining compliance and clean records.

Posted 7/11/2026full-timeFort Lauderdale • Florida • 🇺🇸 United StatesJunior💰 $18 - $23 per hourWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in credentialing and payer enrollment processes, with a strong focus on maintaining accurate records and effective communication with payers. Proficient in managing sensitive information and ensuring compliance with healthcare regulations.

Highest-signal resume keywords

Credentialing ManagementPayer Enrollment WorkflowsCAQH FamiliarityHealthcare Administration ExperienceOrganizational Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

CredentialingProvider EnrollmentPayer EnrollmentRecordkeepingDocumentation ManagementClaims CoordinationApplication TrackingEffective Date ManagementNPI ManagementMalpractice Coverage Tracking

Soft Skills

Attention to DetailClear Written CommunicationFollow-Up SkillsPersistenceOrganizational Habits

Tools & Technologies

CAQHNPPESPECOSPayer ApplicationsCredentialing Tracker

Industry Keywords

HealthcareManaged Care PlansMedicareMedicaidPHI Management

About the role

Key responsibilities & impact

Manage initial credentialing and payer enrollment for new clinicians across commercial, Medicare, and Medicaid managed care plans
Maintain CAQH profiles, NPPES/NPI records, PECOS enrollments, payer applications, and revalidations
Track licenses, malpractice coverage, certifications, effective dates, and expirations
Maintain accurate payer rosters and group/individual linkages across our office locations
Follow up persistently with payers on pending applications, missing items, effective dates, and enrollment discrepancies
Coordinate with billing so claims are not submitted before payer effective dates
Keep clean, auditable records of every application, effective date, payer communication, and follow-up step
Improve the credentialing tracker and written process as the practice grows

Requirements

What you’ll need

1+ years of credentialing, provider enrollment, payer enrollment, or healthcare administrative experience
Hands-on familiarity with CAQH and payer enrollment workflows
Strong organizational habits: you build trackers, use follow-up dates, and do not rely on memory
Comfort following up with payers by phone, portal, and email
Careful attention to names, NPIs, tax IDs, locations, effective dates, payer requirements, and documentation
Comfort handling PHI and sensitive clinician/practice information
Clear written communication and clean recordkeeping

Benefits

Comp & perks

Employer-subsidized health insurance; employer-paid dental, vision, and group life insurance
13 days of PTO in your first year; 26 days annually thereafter
401(k) with company match
Opportunities for continuing education and skill development