Top 2 Provider enrollment specialist Jobs in San Francisco, Ca

Credentialing and Licensing Specialist III
Millennium Healthcare Management Serv LLC —San Francisco, CA
- $22.99 - $34.49 an hour
- Full-time
- Research
- Mid-level
- 3 years
Quick Apply
Enrollment Specialist (Healthcare)
Davis Street Community Center —San Leandro, CA
- $26 - $27 an hour
- Full-time
- Background check
- Spanish
- CPR Certification
- 403(b) matching
- Paid holidays
Quick Apply
23h

Related jobs to explore

Based on your search for provider enrollment specialist

Community Outreach Specialist
Institute on Aging —Contra Costa County, CA
This position requires commuting in the IE area, do you have a reliable vehicle, driver's license and willing to travel through Contra Costa County?
$66,571.21 - $77,222.60 a year
Quick Apply
PACE ENROLLMENT SPECIALIST
NORTH EAST MEDICAL SERVICES —San Jose, CA
Bachelor’s degree, preferably in Healthcare, Social Sciences, Business, or a related field. The Enrollment works independently to gather information, set…
$32.08 - $36.15 an hour

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Credentialing Specialist
Integrated Services for Behavioral Health —Columbus, OH
A valid driver's license and the ability to operate a motor vehicle is required. A bachelor’s degree in accounting, credentialing, or a related field is…
$23.85 - $28.02 an hour
Quick Apply

I want to receive the latest job alert for provider enrollment specialist in san francisco, ca

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

provider enrollment specialist jobs near san francisco, ca

Credentialing Specialist jobs in San Francisco, CA

Credentialing Specialist jobs in Conroe, TX

Health Education Specialist jobs in Chicago, IL

Sourcing Specialist jobs in Orlando, FL

Credentialing Specialist jobs in Columbia, MD

Credentialing Specialist jobs in Brooklyn, NY

Credentialing Specialist jobs in Milwaukee, WI

Credentialing Specialist jobs in Washington State

Credentialing Specialist jobs in Remote

Enrollment Specialist jobs in Sonoma, CA

Customer Success Specialist jobs in Houston, TX

Enrollment Specialist jobs in Albuquerque, NM

Enrollment Specialist jobs in Austin, TX

Enrollment Specialist jobs in Smyrna, GA

Student Data Specialist jobs in Connecticut

Credentialing and Licensing Specialist III

Millennium Healthcare Management Serv LLC -
San Francisco, CA

Quick Apply

Job Details

Full-time
$22.99 - $34.49 an hour

Qualifications

Provider enrollment for medical credentialing
High school diploma or GED
Data management

Full Job Description

Job Description Summary

‎

The Credentialing and Licensing Specialist III performs advanced-level credentialing and licensing work for healthcare providers to ensure compliance with regulatory, accreditation, payer, and organizational requirements. Reviews, validates, tracks, and maintains provider credentialing documentation, licensure records, certifications, enrollment information, and related provider data. Coordinates with providers, internal stakeholders, licensing boards, payers, and external agencies to resolve credentialing and licensing matters and support timely credentialing, recredentialing, enrollment, and renewal activities.

‎

How will you make an impact & Requirements

‎

Key Responsibilities

Process provider credentialing, recredentialing, licensing, enrollment, and renewal activities.
Review and validate credentialing documentation, including licenses, certifications, education, training, malpractice coverage, work history, sanctions, exclusions, and other required provider information.
Research and resolve non-routine credentialing, licensing, payer enrollment, or provider data discrepancies, escalating complex compliance or regulatory concerns when needed.
Monitor expiration dates, application status, missing documentation, and renewal timelines to support timely provider participation and compliance.
Maintain provider records and credentialing databases with a high degree of accuracy, completeness, and data integrity.
Communicate with providers, licensing boards, payers, credentialing committees, regulatory agencies, and internal stakeholders regarding requirements, status updates, and issue resolution.
Support audits, accreditation reviews, compliance reporting, and credentialing committee preparation by gathering documentation, validating records, and responding to information requests.
Provide informal training, guidance, or quality review support to less experienced credentialing staff on systems, procedures, and documentation standards as needed.

Qualifications

High school diploma required; associate degree preferred.
3–5 years of credentialing, licensing, provider enrollment, healthcare administration, or related experience.
In-depth knowledge of provider credentialing, recredentialing, licensing, payer enrollment, and provider data management processes.
Working knowledge of applicable regulatory, accreditation, payer, and organizational credentialing requirements; familiarity with NCQA, CMS, state licensing, or related standards preferred.
Experience using credentialing software, provider databases, payer portals, or HRIS/provider data systems preferred.
Strong attention to detail, follow-through, organization, and ability to manage multiple deadlines and documentation requirements.
Ability to resolve non-routine issues, interpret established procedures, and communicate effectively with providers, payers, agencies, and internal stakeholders.
CPMSM, CPCS, or equivalent certification preferred but not required.

‎

Compensation Range:

$22.99

$34.49

The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.

Quick Apply

Refine Your Search

provider enrollment specialist jobs in san francisco, ca

Credentialing and Licensing Specialist III

Enrollment Specialist (Healthcare)

Related jobs to explore

Explore jobs in cities nearby

I want to receive the latest job alert for provider enrollment specialist in san francisco, ca

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected