Credentialing Specialist (Sr. Provider Payer Enrollment)

About the Role: We are seeking a highly skilled and autonomous Credentialing Specialist to manage the end-to-end provider payer enrollment process. Unlike roles that focus on data entry and ‘handoffs, ‘ this position requires a subject matter expert who can independently navigate federal and state systems (PECOS, NPPES, Medicaid portals) and commercial payer applications from initial submission to final approval.

Key Responsibilities: End-to-End Execution:

1. Federal & State Enrollment (Medicare/Medicaid)

• Independently manage the complete Medicare enrollment process via PECOS , including the preparation and submission of CMS-855I, 855B, 855R , and DME applications.
• Manage the full NPI (Type 1 and Type 2) lifecycle through NPPES , including new registrations and updates.
• Directly submit and track state-specific Medicaid enrollm...