Credentialing Specialist / Provider Enrollment Specialist

Job Description

Job Description

Salary: $1823/hour, based on experience

This is a credentialing and provider enrollment role focused on payer applications, CAQH, PECOS, Medicaid managed care, commercial payer panels, revalidations, rosters, effective dates, and clean tracking.

Seasons Psychotherapy Associates is a growing behavioral health group practice with four Florida offices and a team of roughly 50 clinicians. We provide outpatient mental health care to children, adolescents, and adults. Our back office runs on documented processes, modern systems, and clear administrative career ladders.

The role

You will own payer enrollment and credentialing for a roster of roughly 50 clinicians.

That means getting new hires onto payer panels quickly, keeping existing enrollments and revalidations current, tracking licenses and expirations before they become problems, and making sure billing does not submit claims ahead of effective dates.

Credentialing speed directly affects how quickly a new clinician can see clients, so this seat has visible impact on the whole practice. The role reports to our Practice Manager and works closely with our billing team.

What you will do

• Manage initial credentialing and payer enrollment for new clinicians across commercial, Medicare, and Medicaid managed care plans
• Maintain CAQH profiles, NPPES/NPI records, PECOS enrollments, payer applications, and revalidations
• Track licenses, malpractice coverage, certifications, effective dates, and expirations
• Maintain accurate payer rosters and group/individual linkages across our office locations
• Follow up persistently with payers on pending applications, missing items, effective dates, and enrollment discrepancies
• Coordinate with billing so claims are not submitted before payer effective dates
• Keep clean, auditable records of every application, effective date, payer communication, and follow-up step
• Improve the credentialing tracker and written process as the practice grows

What we are looking for

Required:

• 1+ years of credentialing, provider enrollment, payer enrollment, or healthcare administrative experience
• Hands-on familiarity with CAQH and payer enrollment workflows
• Strong organizational habits: you build trackers, use follow-up dates, and do not rely on memory
• Comfort following up with payers by phone, portal, and email
• Careful attention to names, NPIs, tax IDs, locations, effective dates, payer requirements, and documentation
• Comfort handling PHI and sensitive clinician/practice information
• Clear written communication and clean recordkeeping

Strong plus:

• Behavioral health, outpatient specialty, or group practice credentialing experience
• PECOS / Medicare enrollment experience
• Florida Medicaid or Medicaid managed care experience
• Commercial behavioral health payer experience
• Experience maintaining payer rosters across multiple office locations

Compensation, benefits, and growth

• $1823/hour, based on experience
• Full-time W-2 employee role
• Employer-subsidized health insurance; employer-paid dental, vision, and group life insurance
• 13 days of PTO in your first year; 26 days annually thereafter
• 401(k) with company match
• Opportunities for continuing education and skill development
• Hybrid schedule based out of one of our Broward offices: Fort Lauderdale, Davie, or Coral Springs
• This role sits on a defined career ladder: Credentialing Specialist to Senior Credentialing Specialist. Promotions are real title-and-pay moves.

Location and eligibility please read before applying

Broward-area candidates only. This is a hybrid role with required weekly on-site days. Applicants must currently live within approximately one hour of one of our Broward offices: Fort Lauderdale, Davie, or Coral Springs. Fully remote arrangements are not available and will not be negotiated.

This is a W-2 employee position requiring dedicated, full-time availability during business hours. It is not compatible with concurrent full-time employment elsewhere.

Individual applicants only. We are not engaging staffing agencies, recruiters, credentialing services, RCM companies, billing companies, offshore teams, or contract/corp-to-corp arrangements. Vendor and agency submissions will not be reviewed or responded to.

Finalists interview on-site. Employment eligibility is verified through E-Verify. Employment is contingent on successful completion of a fingerprint-based Level 2 background screening through Florida's Care Provider Background Screening Clearinghouse, as required for employees of Medicaid providers.

Application note

As part of the application, you will have the option to answer a short written question. A strong, specific answer may help us understand your experience, but it is not required.

Seasons Psychotherapy Associates is an equal opportunity employer.