Provider Enrollment & Credentialing Specialist

Join the Team at PedIM Healthcare!

Delivering exceptional care together.

Who We Are

PedIM Healthcare is the first private medical office of its kind in Citrus County offering top-quality care for children adults and seniors all under one roof. We provide pediatrics adult internal medicine family practice geriatrics womens care medical weight-loss sleep-medicine services and more.

Our dedicated community-focused team is committed to excellence pride in service and making a real difference for patients and families across Citrus County.

Why Work With Us

• A broad multi-discipline practice where you can grow: pediatrics internal medicine weight-loss & sleep medicine specialties.
• A values-driven environment: we listen we help we understandand we care.
• Community-oriented and recognized: voted best of the best in the region.
• Opportunity to make a meaningful impact by supporting patients over their full life spanfrom children to seniors.
• A workplace committed to employee development and delivering holistic care.

The Role

PedIM Healthcare is seeking an experienced Provider Enrollment & Credentialing Specialist to support our growing organization. This role is responsible for managing complex provider credentialing and payer enrollment processes across multiple entities locations and states.

This is a high-impact role requiring prior experience and the ability to work independently in a fast-paced multi-entity healthcare environment.

Benefits Available To You:

Joining our team means more than just a jobit means access to benefits designed to support your health well-being and work-life balance.

• Health coverage Sick-N-Well membership
• Health Savings Account (HSA)
• Life insurance
• Paid time off
• 401(k) plan 4% company match
• Relax Scofa membership
• Employee Assistance Program (EAP)
• Employee Recognition Program

And more!

What Youll Do:

The Credentialing & Enrollment Specialist will manage the full lifecycle of provider credentialing and payer enrollment including initial applications revalidations and ongoing maintenance. This position supports multiple tax IDs provider types and payer relationships ensuring accuracy compliance and timely processing.

Key Responsibilities

• Manage end-to-end credentialing and enrollment for providers with Medicare Medicaid and commercial payers
• Complete and maintain CAQH profiles applications and revalidations
• Coordinate multi-state and multi-location enrollments across multiple tax IDs
• Track application status and proactively follow up with payers to ensure timely approvals
• Maintain accurate and up-to-date provider records and credentialing files
• Ensure compliance with CMS guidelines and regulatory requirements
• Collaborate with internal teams including HR operations and billing
• Identify and resolve enrollment issues that may impact provider billing or revenue

Qualities That Make You A Great Fit:

• Minimum 2 years of credentialing and enrollment experience in a healthcare setting
• Strong knowledge of payer enrollment processes and CAQH
• Experience working with Medicare Medicaid and commercial insurance plans
• Ability to manage high-volume detail-oriented work independently
• Strong organizational and follow-up skills
• Excellent communication skills
  

Preferred Qualifications

• Experience with multi-entity or multi-location healthcare organizations
• Familiarity with Florida Medicaid and out-of-state enrollments
• Experience in primary care outpatient or multi-specialty settings

Why Join Us

• Join a growing healthcare organization supporting multiple service lines and communities
• Work closely with a collaborative and supportive leadership team
• Make a direct impact on provider onboarding compliance and revenue cycle success
• Flexible remote work environment
  

Schedule

Full-time MondayFriday

Apply Today

If you have experience in credentialing and enrollment and are looking for a role where you can make an immediate impact we encourage you to apply.

All employment offers at PedIM Healthcare are contingent upon the successful completion of applicable background checks verification of credentials and compliance with health and safety requirements.

Compliance & Equal Opportunity Notice

PedIM Healthcare is proud to be an Equal Opportunity Employer and is fully committed to compliance with all federal state and local employment laws. We believe every team member deserves a workplace built on respect fairness and opportunity.

We do not discriminate on the basis of race color religion creed sex (including pregnancy childbirth gender identity and sexual orientation) national origin age disability genetic information marital status veteran status or any other protected characteristic under applicable law.

In alignment with the Americans with Disabilities Act (ADA) PedIM Healthcare provides reasonable accommodations to qualified individuals with disabilities to ensure equal access to employment opportunities and participation in all aspects of our hiring and employment processes.

Employment at PedIM Healthcare is offered on an at-will basis and is contingent upon the successful completion of all required background checks credential verifications and health or safety screenings consistent with healthcare regulatory standards. Certain roles may also require proof of immunizations or other health compliance documentation.

We are dedicated to fostering a diverse inclusive environment where every employee feels valued supported and empowered to contribute to our mission of delivering exceptional compassionate care to our community.

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