Provider Enrollment/Credentialing Specialist

V2V Management Solutions

Provider Enrollment/Credentialing Specialist supporting healthcare consulting firm in the U.S. Managing provider enrollment and credentialing applications for clients across the country.

Posted 7/28/2026full-timeMeridian • Idaho • 🇺🇸 United StatesMid-LevelSenior💰 $30 - $40 per hourWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in provider enrollment and credentialing processes, with a strong focus on revenue cycle management and health insurance principles. Proficient in utilizing credentialing software and ensuring a seamless onboarding experience for healthcare providers.

Highest-signal resume keywords

Provider EnrollmentCredentialingRevenue Cycle ManagementHealth Insurance KnowledgeDecision-Making

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

Credentialing ApplicationsNPI ManagementPECOSMedicaidCAQHMicrosoft Office SuiteEcho One AppVerity ProductsHealth Insurance ConceptsManaged Care Principles

Soft Skills

Problem-SolvingConflict ResolutionCritical ThinkingCustomer Service

Certifications & Qualifications

Associate DegreeBachelor's Degree

Industry Keywords

Healthcare SettingInsurance AgencyPayer EnrollmentHMOPPODSNIPMedicare Advantage

About the role

Key responsibilities & impact

Support clients through administering the provider enrollment and credentialing applications process.
Responsible for preparing and submitting credentialing applications and supporting documentation for enrolling individual physicians and physician groups with payers.
Provide advisory services for organizational level NPI management and provider enrollment challenges.
Ensure the provider onboarding process relating to credentialing and enrollment is a seamless and expedited experience.

Requirements

What you’ll need

3-5 years’ experience working within the insurance agency, hospital or other healthcare setting with responsibilities related to credentialing or provider enrollment.
Additional 3-5 years’ experience working within the healthcare industry relating specifically to the revenue cycle process.
Associate or bachelor’s degree preferred.
Subject matter expertise in revenue cycle, credentialing & payer enrollment.
Extensive knowledge in health insurance third party administrator concepts.
Working knowledge of PECOS, Medicaid, and CAQH systems.
Knowledge of health insurance, HMO, PPO, DSNIP and managed care principles including Medicare Advantage regulations.
Effective decision-making, problem-solving, conflict resolution, and critical thinking skills.
Ability to learn new software programs quickly.
Proficiency in Microsoft Office suite.
Experience with Echo One App, Verity products, or other credentialing software solutions a plus.
Provides exceptional customer service.

Benefits

Comp & perks

401(k)
Competitive salary
Dental insurance
Health insurance
Paid time off