Sr. Provider Enrollment Specialist

Required Qualifications

• Associate’s degree in Healthcare Administration, Business, or related field required (Bachelor’s preferred).
• Minimum of 3-5 years of experience in provider enrollment, credentialing, or revenue cycle operations.
• Strong understanding of payer enrollment processes for commercial, Medicare, and Medicaid plans.
• Experience working with provider enrollment portals (e.g., PECOS, CAQH, Availity) and electronic credentialing systems.
• Ability to analyze enrollment data and resolve complex payer or application issues effectively.
• Proficiency in Microsoft Office Suite and experience with healthcare information systems (EHR, practice management systems).

Preferred Qualifications

• Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM).
• Experience in a multi-specialty medical group or health system.