Provider Enrollment Coordinator, CVS Health

CVS Health

Location:
United States, Farmers Branch, Texas

Category:
Office Administration

Contract Type:
Employment contract

Salary:

17.00 - 28.46 USD / Hour

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Job Description:

Responsible for reviewing and processing credentialing applications and supporting documentation for the purpose of enrolling individual physicians and physician groups in Medicaid and Medicare. Responsible for accurate and timely processing of Part B provider enrollment applications.

Job Responsibility:

Reviewing and processing credentialing applications
Processing Part B provider enrollment applications
Interacting professionally with providers and staff
Tracking and following up with providers for documentation
Synchronizing data among multiple systems
Validating data on provider databases
Executing standard operating procedures
Completing workflow items within set turn-around-time

Requirements:

3 years of experience in a centralized credentialing office
Direct provider enrollment experience
Experience with Word and Excel
Knowledge of health plan and governmental payer credentialing
Knowledge of PECOS and State Medicaid Enrollment applications

Nice to have:

Experience with MD Staff credentialing and enrollment software
Knowledge of standards interpretation as related to NCQA
CPCS certification

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation programs
Weight management programs
Confidential counseling
Financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
August 24, 2025

Expiration:
August 31, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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Provider Enrollment Coordinator