Provider/Payor Enrollment - Credentialing Specialist
TEKsystems
Position Summary
We are seeking a highly organized and detail-oriented Provider Enrollment Coordinator to manage the enrollment and re-enrollment of healthcare providers across Medicare, Medicaid, and commercial insurance plans. This role ensures timely and accurate processing of applications, maintains provider records, and supports compliance with payer requirements.
Key Responsibilities
+ Prepare and submit enrollment and re-enrollment applications for healthcare providers to Medicare, Medicaid, and commercial insurance plans.
+ Maintain accurate and up-to-date provider records in internal databases and payer portals.
+ Track application statuses and follow up with payers to ensure timely processing.
+ Collaborate with providers and credentialing staff to gather required documentation and resolve discrepancies.
+ Monitor and manage re-credentialing and revalidation timelines to ensure continuous participation.
+ Respond to inquiries from providers and internal departments regarding enrollment status and requirements.
+ Assist with audits and reporting related to provider enrollment activities.
Required Skills & Qualifications
+ High school diploma or equivalent required; Associate or Bachelor’s degree in healthcare administration or related field preferred.
+ 2 years of experience in provider enrollment and credentialing.
+ Strong understanding of Medicare, Medicaid, and commercial insurance enrollment processes.
+ Familiarity with CAQH and payer portals.
+ Excellent organizational, communication, and problem-solving skills.
+ Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
+ Proficiency in Microsoft Word, Excel, and PowerPoint.
#westpriority25
Pay and Benefits
The pay range for this position is $23.00 - $23.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
• Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on Sep 10, 2025.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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