Provider Enrollment and Credentialing Specialist
Grace Community Care & Homes is developing its Central Operations department and seeks a Provider Enrollment and Credentialing Specialist. The role will contribute to person-centered services, reliable operations and accurate documentation.
Core responsibilities
Prepare provider and practitioner enrollment packets, maintain license and NPI records, track payer credentialing, follow up on submissions, and monitor renewals and effective dates.
Work collaboratively with department leadership, intake, credentialing, billing and quality teams. Maintain confidentiality, respect participant choice, communicate service gaps promptly, and follow role-specific policies and professional scope. Participate in orientation, competency review and quality improvement.
Program readiness
This is a planned role. Start date and duties are contingent on applicable program approvals, funding, credentialing and staffing readiness. Services may begin only within the approved scope.
Location and schedule
New Jersey. Part-time; assignment and weekly schedule discussed during hiring. Services begin only within approved scope and at approved locations.
Requirements
Experience with Medicaid enrollment, managed-care credentialing, ownership disclosures, document tracking and payer follow-up. Applicants should provide relevant credentials, experience, availability and a resume. Final regulatory eligibility will be verified
