Provider Enrollment & Credentialing Specialist. Job in Gainesville Move Collective Jobs

Provider Enrollment & Credentialing Specialist Company: Pinnacle Wound Management, Location: Gainesville, GA, Employment Type: Full-Time About Us: At Pinnacle Wound Management, we are dedicated to improving the lives of patients through high-quality wound care delivered by expert physicians, nurse practitioners, and physician assistants. As a growing leader in this specialized healthcare field, we’re looking for a detail-oriented and proactive Provider Enrollment & Credentialing Specialist to support our expanding clinical team. Position Overview: The Provider Enrollment & Credentialing Specialist will be responsible for the full-cycle credentialing and enrollment of our healthcare providers, including physicians and mid-level practitioners. This role is vital to ensuring that our clinical staff are enrolled with payers, credentialed with facilities, and compliant with all regulatory and operational standards. Key Responsibilities: - Manage the credentialing and re-credentialing processes for physicians, nurse practitioners, and physician assistants. - Enroll new providers with Medicare, Medicaid, and commercial insurance plans. - Maintain accurate and up-to-date provider information in internal databases and with payer systems. - Track expirables (licenses, certifications, malpractice insurance) and ensure timely renewals. - Communicate with providers and internal departments to gather necessary documentation and resolve enrollment or credentialing issues. - Monitor and respond to payer requests and follow up to ensure timely processing. - Stay current on enrollment and credentialing regulations and payer requirements. - Support facility privileging processes when applicable. Qualifications: - 2+ years of experience in healthcare credentialing and/or provider enrollment. - Familiarity with CAQH, PECOS, NPPES, and commercial insurance enrollment processes. - Strong organizational skills and attention to detail. - Ability to work independently and manage multiple tasks and deadlines. - Excellent communication skills, both written and verbal. - Experience in wound care or with mobile healthcare providers is a plus. Preferred Skills: - Knowledge of credentialing software and platforms. - Experience working with a geographically distributed provider team. - Understanding of state licensing requirements and compliance standards. Why Join Us? Opportunity to be part of a mission-driven team making a direct impact on patient care. Supportive and collaborative work environment. Competitive salary and benefits package. #J-18808-Ljbffr