Provider Enrollment Coordinator, CVS Health

Provider Enrollment Coordinator

CVS Health

Location:
United States, Farmers Branch

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:

Review and process credentialing applications and supporting documentation
Enroll individual physicians and physician groups in Medicaid and Medicare
Process Part B provider enrollment applications
Interact professionally with providers and staff representatives
Track and follow up with providers for timely return of required documents
Assist in synchronization of data among multiple systems
Validate data on provider databases
Execute all standard operating procedures
Complete workflow items within set turn-around-time

Requirements:

3 years of experience in a centralized credentialing office and direct provider enrollment experience
Experience in credentialing or file maintenance
Experience with Word and Excel
Knowledge of health plan and governmental payer credentialing, enrollment and requirements
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 and weight management programs
Confidential counseling and 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:
October 01, 2025

Expiration:
October 02, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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