Senior Credentialing and Enrollment Specialist
Dallas, TX
Category: Healthcare
Reference ID: 10081425
Shortcut: http://addisongroup.gosnaphop.com/Eatws7
Role: Senior Credentialing and Enrollment Specialist
Location: Fully Remote – Dallas, TX preferred
Salary: $65,000 - 85,000 / year
Employment Type: Direct Hire
Work Setting: Fully Remote
Benefits: This role is eligible for medical, dental, vision and 401k.
About Our Client
Addison Group is hiring for our client, a growing multi-specialty physician organization with a significant presence in Texas and continued expansion into additional markets.
The organization is actively acquiring and integrating new physician practices, creating an opportunity for an experienced Senior Credentialing Specialist to take ownership of commercial payer enrollment and provider credentialing across a growing network.
This is a highly independent, senior-level position working alongside a small, experienced credentialing team.
Position Overview
The Senior Credentialing Specialist will manage the full lifecycle of provider credentialing and commercial payer enrollment for approximately 100 active providers, with volume expected to grow as new practices join the organization.
This role requires someone who understands both sides of the credentialing process—not only maintaining provider credentials, but also independently managing payer enrollment, licensure, CAQH profiles, and onboarding associated with newly acquired practices.
The ideal candidate is a self-starter who can begin the day, assess priorities, and independently move work forward without significant day-to-day direction.
Key Responsibilities
- Manage end-to-end commercial payer enrollment for physicians and providers
- Complete and maintain provider credentialing and recredentialing requirements
- Manage provider licensure and renewal requirements
- Maintain accurate and current CAQH profiles
- Track credentialing and enrollment activity within the organization's credentialing platform
- Communicate directly with commercial payers regarding enrollment status and outstanding requirements
- Monitor applications and proactively follow up to move enrollments toward completion
- Manage new provider credentialing files associated with practice acquisitions
- Assist with onboarding physicians and providers joining through newly acquired practices
- Support credentialing and enrollment across multiple states and markets
- Respond to provider questions and manage communications through a shared credentialing inbox
- Maintain accurate provider records, documentation, and enrollment status
- Safeguard confidential provider information and maintain HIPAA and compliance standards
- Prioritize competing credentialing needs as business and acquisition priorities change
- Partner with internal teams to resolve credentialing, licensure, and enrollment issues
Required Qualifications
- 3+ years of provider credentialing experience
- Strong hands-on experience with both provider credentialing AND payer enrollment
- Demonstrated experience managing commercial payer enrollment
- Experience with provider licensure and renewals
- Strong working knowledge of CAQH
- Experience credentialing providers within a physician practice or specialty medical group
- Ability to independently manage credentialing files from initiation through completion
- Strong understanding of HIPAA, compliance, and confidential provider information
- Excellent written and verbal communication skills
- Strong organizational skills with the ability to manage multiple priorities and deadlines
- Ability to work independently in a fully remote environment
Preferred Qualifications
- Previous experience supporting vascular surgeons or vascular medicine practices
- Experience within a multi-specialty or specialty physician organization
- Experience supporting multiple locations or states
- Exposure to practice acquisitions, integrations, or new-practice onboarding
- Understanding of provider onboarding associated with asset or stock acquisitions
- Experience with a dedicated credentialing management platform
- Credentialing certification is a plus but not required
Workload & Environment
The credentialing team currently supports approximately 100 active providers, with volume expected to fluctuate as the organization continues to acquire and integrate practices.
There is not a set daily file quota. Success is based more heavily on ownership, organization, timely follow-up, and the ability to keep credentialing and enrollment activities progressing.
This is a fast-paced and highly independent environment. Priorities can change quickly, so the successful candidate must be comfortable pivoting between urgent provider needs, payer enrollment issues, ongoing credentialing responsibilities, and acquisition-related projects.
Ideal Candidate
- Senior-level credentialing professional who does not require significant day-to-day oversight
- Proactive and comfortable taking ownership of their workload
- Strong problem-solver who follows issues through resolution
- Able to quickly reprioritize when business needs change
- Highly organized and deadline-driven
- Confident communicating with providers, payers, and internal leadership
- Comfortable working within a small team where individual ownership matters
- Motivated by the opportunity to help build and improve processes within a growing organization
Why Consider This Opportunity?
- Fully remote position
- Direct-hire opportunity with a growing healthcare organization
- Senior-level role offering significant autonomy and ownership
- Opportunity to work closely with an experienced credentialing team
- Exposure to credentialing and enrollment across multiple markets
- Opportunity to support newly acquired physician practices and provider integrations
- Growing provider population as the organization continues expanding
- Opportunity to make a meaningful impact on credentialing processes during a period of continued growth
| Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request. |
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