Credentialing And Provider Enrollment Specialist, Grant Services Specialist Iii (ncs) - Baltimore City Health Department

Baltimore City Health Department

Baltimore, Maryland, US
Base: $65,716.00 annually; bonus/equity: not speci...
End-to-end credentialing management
Caqh pecos eprep platform proficiency
Hipaa compliance and confidentiality
The position is responsible for managing all aspects of provider credentialing and enrollment across multiple platforms including ePrep, CAQH, and PECOS

Job Summary

  • The position is responsible for managing all aspects of provider credentialing and enrollment across multiple platforms including ePrep, CAQH, and PECOS.
  • Candidates must ensure timely processing of new and existing provider enrollments while maintaining strict compliance with payer and regulatory requirements.
  • The City of Baltimore offers a comprehensive benefits package including medical, dental, vision, life insurance, and wellness programs.

Matching Summary

The position is responsible for managing all aspects of provider credentialing and enrollment across multiple platforms including ePrep, CAQH, and PECOS.

Salary

Base: $65,716.00 Annually; Bonus/Equity: Not specified; Benefits: Medical, prescription drug, dental, vision, optional life, AD&D, FSA, wellness programs

Skills & Requirements

Must-have

  • End-to-end credentialing management
  • CAQH PECOS ePrep platform proficiency
  • HIPAA compliance and confidentiality
  • Provider roster maintenance and auditing
  • Revenue cycle denial resolution

Nice-to-have

  • Strong dispute resolution skills
  • Excellent verbal and written communication
  • Experience with Epic Work Queue systems
  • Proactive cross-functional collaboration
  • Attention to detail in data entry

Key Requirements

  • Bachelor's degree from an accredited college or university
  • Four years of experience in health/social service case coordination
  • Two years of supervisory experience or equivalent combination
  • CPCS Certification preferred (or obtain within 12 months)

Work Rights

Not specified

Tailored Resume

Cover Letter