Credentialing and Enrollment Coordinator

1 week, 3 days ago
Full-time
Junior
Customer and Technical Support
Foodsmart

Foodsmart

Foodsmart offers a personalized telehealth nutrition solution that connects members with a vast network of registered dietitians, providing tailored nutrition guidance to improve health from the comfort of home.

Health Care Providers & Services
51-250
Founded 2010
$105M raised

Description

  • Collect, verify, and maintain provider credentials, including education, licensure, board certification, DEA registration, malpractice insurance, and work history.
  • Perform primary source verification of licenses, certifications, and education through official sources.
  • Maintain provider profiles in CAQH and track credential expiration dates and renewals.
  • Prepare providers for credentialing committee review and respond to requests for additional information.
  • Conduct background checks, NPDB queries, and OIG/SAM exclusion list checks.
  • Support compliance with NCQA, CMS, PECOS, and state-specific credentialing standards.
  • Enroll providers with Medicare, Medicaid, and commercial insurance payers.
  • Complete and submit payer enrollment applications and follow up on application status, delays, and denials.
  • Link providers to group practices and tax ID numbers and process terminations, updates, and re-validations.
  • Coordinate enrollment effective dates with billing and revenue cycle teams to help avoid claim denials.

Requirements

  • Minimum of 1 year of experience in Medicare and/or Medicaid enrollment.
  • Familiarity with CAQH, PECOS, NPPES, and state-specific enrollment portals.
  • Working knowledge of medical terminology and healthcare/CMS regulations.
  • Proficiency in data entry and management software.
  • Strong organizational and time management skills with demonstrated attention to detail.
  • Ability to manage multiple complex projects and meet deadlines.
  • Excellent written and verbal communication skills.
  • Ability to work independently and collaboratively within a team environment.
  • Commitment to maintaining confidentiality of sensitive information.
  • Candidates must reside in and work within the U.S.

Benefits

  • Remote-first work environment.
  • Unlimited PTO.
  • Flexible remote location.
  • Medical, dental, and vision coverage.
  • 401(k) and bonus.
  • Registered Dietitian sessions.

Interested in this position?

Apply directly on the company website

Apply Now

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