Credentialing and Provider Enrollment Specialist
$25 per hourSea Mar Community Health Centers
Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons without regard to race, ethnicity, immigration status, gender, or sexual orientation, and regardless of ability to pay for services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services. We are recruiting for the following position:
Sea Mar is a mandatory COVID-19 and flu vaccine organization
Position Summary:
The Credentialing and Provider Enrollment Specialist is responsible for coordinating all aspects of the credentialing and privileging process for licensed independent practitioners (LIPs) in accordance with Sea Mar’s policies and procedures, national standards and regulatory requirements, is responsible for ensuring accurate and timely processing of site and provider enrollments for all Medicare, Medicaid, third party insurances, and private pay programs, including special programs, and is responsible for monitoring licensure and certification expirations. The Credentialing and Provider Enrollment Specialist is a solution-driven, detail-oriented professional who provides exceptional customer service to internal colleagues and external partners.
Job Duties:
- Create and carry out various credentialing processes in relation to licensed providers in medical, dental and behavioral health departments.
- Ensure that all credentialed providers adhere to facility and staff policies, department guidelines, regulations, and government laws.
- Process applications and reappointment paperwork, checking for full completeness and accuracy.
- Perform provider credentialing/qualifying process to ensure all requirements are met in accordance with credentialing requirements prior to presentation to Board of Directors.
- Ensure that all credentials files are current and complete pursuant to expiration date of medical licenses, board certification, professional-liability insurance coverage, DEA and other pertinent information, per HPP and/or client facility policy and procedures.
- Coordinate credentialing process by entering/logging/scanning information into MD Staff credentialing software for initial, updating, and add on applications and maintenance processes.
- Collect and verify sensitive provider data through confidential sources.
- Maintain timely updates to information systems and regular reports used to monitor completion of initial and reappointment credentialing applications.
- Audit files based on internal standards and regulatory requirements.
- Monitor and report application status and provide appropriate correspondence (form letters) to providers and department heads when necessary.
- Provide complete and accurate credentialing files to Administration for inclusion in Board of Directors' materials.
- Serve as back-up to the Credentialing and Enrollment Manager to coordinate and facilitate monthly Clinical Credentialing Committee meetings.
- Inform the Credentialing and Enrollment Manager of any concerns or issues preventing timely credentialing and privileging of providers
- Maintain paper provider credentialing files in locked filing cabinets.
- Maintain professional working relationships with facilities in which providers practice.
- Work directly with providers to complete all phases of credentialing process
- Other duties as assigned
Qualifications:
- Working knowledge of The Joint Commission, NCQA, URAC, CMS and HRSA credentialing and privileging standards.
- Intermediate computer skills including Microsoft products, especially Microsoft Excel and web-based inquiries/databases required.
- Demonstrated ability to manage and meet multiple priorities and competing deadlines.
- Demonstrated problem-solving and organizational skills with attention to detail.
- Ability to read and interpret complex documents, reports and data.
- Ability to effectively and professionally communicate with providers, outside organizations and staff both verbally and in writing.
- Ability to add, subtract, multiply and divide in all units of measure including whole numbers, common fractions and decimals required.
- Ability to compile, interpret and utilize information.
- Ability to work well with a diverse group of individuals including staff and clients.
- Ability to resolve issues in a timely manner.
- Ability to communicate detailed information and processes in a clear, concise manner, both verbally and in writing.
- Must be detail-oriented with demonstrated ability to follow processes and instructions in order to complete enrollment applications and insurance plan provider credentialing requirements
Education and Experience:
- College degree preferred, high school diploma acceptable if previous work experience in managed care, hospital or medical office environment.
- Experience in credentialing and/or provider enrollment preferred.
- Experience with credentialing software is desirable, MD Staff preferred.
- Experience with provider enrollment and delegated health plan credentialing agreements preferred.
- Current NAMSS Certified Provider Credentialing Specialist (CPCS) or actively pursuing certification and certification obtained within two years of hire date preferred.
What We Offer:
Sea Mar offers talented and motivated people the opportunity to work in a dynamic and growing community health organization. Working at Sea Mar Community Health Centers is more than just a job, it’s a fulfilling career with opportunity for advancement. The fringe benefits surpass most companies. For example, Full-time employees working 30 hours or more, receive an excellent benefit package of:
- Medical
- Dental
- Vision
- Prescription coverage
- Life Insurance
- Long Term Disability
- EAP (Employee Assistance Program)
- Paid-time-off starting at 24 days per year + 10 paid Holidays.
- We also offer 401(k)/Retirement options and an exciting opportunity to work in a culturally diverse environment.
Sea Mar is an equal opportunity employer.
Please visit our website to learn more about us at You may also apply thru our Career page at this link.
- ...and ethics. This is a full-time management/leadership position. Provides high level member service. Job Duties Schedules, develops,... ...checks cash register codes, approves refunds Mentors employees enrolled in the Hearing Aid Apprentice Program (HAAP). Provides mentoring...SuggestedFull timeTemporary workApprenticeshipWork at office
$124k - $134k
Project Management Specialist (General Project Management) Job Description At Boeing, we innovate... ...division. Our core mission is to provide emergent support for the developmental,... ...eligible employees with an opportunity to enroll in a variety of benefit programs,...SuggestedPermanent employmentFull timeRelocationVisa sponsorshipWork visaRelocation packageFlexible hoursShift workDay shift- AKIN seeks a Temporary Early Learning Support Specialist in Auburn, WA to provide confidential administrative support for supervisors and staff within... ...26 to December 2026, duties include greeting families, enrollment screening, scheduling, data entry, billing, and...SuggestedTemporary work
$18 - $20 per hour
...Leasing Specialist Federal Way, Washington Avanath is proud to be named one of the top property management companies that provide affordable housing for the workforce. Cultivating the American Dream is the purpose that binds the Avanath team. At Avanath, every day...SuggestedImmediate startFlexible hoursAfternoon shift$22 - $24 per hour
...ADESA, a Carvana-owned company, currently operates in over 50 locations throughout the US. Our auto auctions, some up to 200 acres, provide a wide array of vehicle services, including repair, reconditioning, and auction remarketing, and many of our sites serve as market...SuggestedHourly pay$17.5 - $19 per hour
...Description What to expect when you work here As a Receiving Specialist, you will be responsible for managing the store's backroom operations... ...Core Values to drive everything we do. Aim For The Podium: We provide an outstanding shopping experience and deliver exceptional...Hourly payPart timeImmediate startShift workNight shiftAfternoon shift$25.09 - $27.6 per hour
...Rescue Mission (TRM) is seeking an Outreach Specialist to be on a team that carries out our... ...partners, and staff - to become their best. We provide emergency services such as shelter and... ...goals and reducing barriers (e.g., enrolls clients in the Coordinated Entry (CE) system...Hourly payWork at officeLocal areaImmediate startLong distanceWeekend workAfternoon shift$25 - $30 per hour
...Behavior Support Specialist I Position at Clarvida - Washington Behavior Support Specialist I (Bachelor's Level) Location: Auburn,... ...family members and residential staff to support client success Provide education and guidance to support systems on effective behavioral...Full timeInternshipFlexible hours$17.13 - $19 per hour
...Delivers a distinctive and delightful customer experience by providing expert photo services, digital passport photos, and support for... ...coverage and operational continuity during times when the Photo Specialist is not scheduled. • Follows company policies, asset...Hourly payWork experience placementSeasonal workFlexible hoursAfternoon shift$51.84k - $69.74k
...Early Childhood Program Specialist 3 Salary: $51,840.00 - $69,744.00 Annually Location: Main Campus, 6... ...educational activities of children 1 month to 5 years enrolled in the College's early childhood program to provide educational instruction. This position also...Full timeTemporary workLocal areaRemote work- ...Aerospace Production Specialist Skills Inc., one of Washington State's largest aerospace suppliers offers world-class, competitively... ...Auburn, Washington. In this entry level position, training will be provided in assembling parts and a variety of production work in the...Hourly payPermanent employmentLocal areaShift work
- ...Services Administration (GSA) Vehicle Program Specialist is responsible for managing all... ...transport of vehicles to external service providers and verify completion of repairs. Conduct... ...life insurances. Employees are able to enroll in our company's 401k plan and RB Global...Full timePart time
$16.66 - $23 per hour
...Delivery Specialist Compensation Pay Range: $16.66 - $23.00 The actual hourly rate will equal or exceed the required minimum wage... ...an email to ****@*****.*** or call (***) ***-****, ext. 68901, and provide your requested accommodation, and position details....Hourly payMinimum wageLocal areaImmediate startFlexible hours$32.07 - $48.11 per hour
...Development or related field. Must obtain Certified Child Life Specialist certification within one year of employment. Completed an... ...skills, experience, and expertise, and may vary within the range provided.Disclaimer for Out of State ApplicantsThis compensation range...Daily paidFull timeInternship$17.5 - $19 per hour
...Job DescriptionWhat to expect when you work hereAs a Receiving Specialist, you will be responsible for managing the store's backroom... ...5 Core Values to drive everything we do.Aim For The Podium:We provide an outstanding shopping experience and deliver exceptional customer...Hourly payPart timeImmediate startShift workNight shiftAfternoon shift$38.88k - $54.83k
...Telecare What You Will Do to Change Lives The Recovery Specialist II provides care that responds to the physical and psychological needs... .... This position requires a current Washington State credential appropriate to this position and issued through the Washington...Hourly payShorter hoursFull timePart timeRelocation packageShift workNight shiftWeekend work$48.88k - $65.52k
...for performance and everyday wear. As a Specialist – Apparel , you will combine product... ...create a world-class athlete experience and providing clear, accurate, and knowledgeable... ...warranty sales, private label credit card enrollment, etc.). Creates a store environment...Hourly payMinimum wagePart time$78.17 - $105.04 per hour
...and the only pediatric hospital in Washington's South Sound, we provide a comprehensive network of care designed specifically for... ...requests from specialty clinics Determine patient eligibility and enroll patients in copay assistance and medication assistance programs...Contract workWork at officeRotating shift$22.97 - $33.05 per hour
...serve.FTE: .8, Shift: Day, Schedule: Monday - FridayPosition Summary:The Scheduling Coordinator-Specialty Clinic is responsible for providing coordination of the provider's surgery and clinic schedules. This is a clerical position which is the first line representative to...Contract workFlexible hoursShift work$55 per hour
...Part‑Time Industrial Injury Prevention Specialist (Part‑Time, 1099 Contractor) Location:... ...per hour, depending on experience and credentials Start Date: Immediate Hours: Flexible... ...spaces where all therapy supplies are provided. Your duties will include conducting ergonomic...Hourly payPart timeFor contractorsWork at officeImmediate startRemote workFlexible hours- ...Homecare Agency, LLC is seeking a Mammography Technologist I to provide high-quality mammography services, prepare equipment, and... ...This role requires certification in radiology with mammography credentials and 1 year of experience preferred. #J-18808-Ljbffr LiveWell...
- State of Washington is seeking an Employment Specialist to provide personalized support in-office and through community outreach, helping job seekers achieve employment goals with strong communication and tech skills. The role emphasizes collaboration with partners and...Work at office
$15 - $30 per hour
...Membership Specialist The Membership Specialist (MS) will represent UFC GYM by providing a welcoming, informative, and entertaining experience for all members and guests... ...includes collecting leads at the point of enrollment and from the current member base through...Hourly payFull timeCasual workLocal areaTrial periodAll shiftsWeekend work- ...family medical clinic in Federal Way and Kent. You will deliver Medical Nutrition Therapy, perform nutrition risk assessments, and provide counseling to pediatric, teen, and adult patients referred by PCP. Work with a multidisciplinary team including PCPs, Health Educator...Full time
- ...support client billing. Strong Excel and Word skills and English fluency are required. The position emphasizes attention to detail, timely processing, and adherence to regulations while providing opportunities within a global logistics network. #J-18808-Ljbffr Expeditors
$21.75 - $29.67 per hour
...Resources is looking for a passionate Housing Specialist to join our Outreach team in Tacoma.... ...displaced clients (compensation provided). Responsibilities Follow documentation... ...) in Avatar and PDAMS. At the point of enrollment create an electronic Client file in one...Hourly payFull timeContract workShift workAfternoon shift- ...with WA Department of Transportation. They provide support to people experiencing... ...and substance abuse issues. ROW Housing Specialist will meet with assigned community teams,... ...administrative duties that support client enrollment and ongoing support Participate with team...Contract workTemporary work
$95k - $110k
A behavioral healthcare company is seeking a Therapist for their Federal Way clinic. This full-time role focuses on providing high-quality care to adults in PHP and IOP programs. Responsibilities include conducting assessments, developing treatment plans, and facilitating...Full time- ...catheterization procedures in Washington. Candidates must have at least 1 year of experience in a CATH LAB and a Washington State Healthcare Provider license or be willing to obtain one. Benefits include health, dental, vision, life insurance, and a 401(k) plan. All employees...
$18 - $20 per hour
Bud Clary Auto Group in Auburn, Washington is seeking a Parts Counterperson to join our team. In this role, you will provide expert knowledge to customers regarding their parts needs, assisting both retail and shop customers in a friendly and efficient manner. Your attention...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Credentialing and Provider Enrollment Specialist. Be the first to apply!
- credentialing coordinator Federal Way, WA
- medical staff credentialing Federal Way, WA
- credentialing representative Federal Way, WA
- healthcare credentialing Federal Way, WA
- credentialing assistant Federal Way, WA
- credentialing Federal Way, WA
- credentialing specialist
- entry level credentialing specialist
- provider enrollment credentialing specialist
- remote credentialing specialist

