Provider Credentialing & Enrollment Specialist

PM Pediatric Care

Fully remote
Two years provider credentialing experience
Medicaid and etin certification knowledge
Caqh and medallion platform proficiency
This is a part-time, temporary position with the potential to transition into a full-time role

Job Summary

  • This is a part-time, temporary position with the potential to transition into a full-time role.
  • The role focuses on resolving enrollment issues, reducing denials, and ensuring timely provider participation and reimbursement.
  • Candidates must have experience with Medicaid applications, revalidations, and NY/NJ state-specific requirements.

Matching Summary

This is a part-time, temporary position with the potential to transition into a full-time role.

Skills & Requirements

Must-have

  • Two years provider credentialing experience
  • Medicaid and ETIN certification knowledge
  • CAQH and Medallion platform proficiency

Nice-to-have

  • Strong attention to detail
  • Analytical skills for trend identification
  • Ability to manage multiple priorities

Key Requirements

  • Minimum two years in provider credentialing
  • Knowledge of CAQH and Medallion vendor platform
  • Experience with NY/NJ Medicaid and ETIN certifications

Work Rights

Not specified

Tailored Resume

Cover Letter