[Hiring] Credentialing and Enrollments Specialist @Modena Allergy + Asthma

Role Description

The Credentialing & Enrollments Specialist is responsible for managing the credentialing, payer enrollment, and provider onboarding processes for the practice’s physicians and advanced practice providers. This role ensures providers are credentialed, enrolled, and maintained with commercial and government payers in a timely and accurate manner to support uninterrupted billing and patient care operations.

• Maintains provider records, monitors credentialing deadlines, coordinates with payers and providers.
• Serves as a key resource for credentialing and insurance operations.
• Requires strong organizational skills, attention to detail, and the ability to manage multiple deadlines in a fast-paced healthcare environment.
• This role is non-exempt (hourly) and full-time, 40 hours per week, Monday through Friday.
• The position is remote, with preference for candidates residing in California, Arizona, Colorado, New Mexico, or South Carolina.
• Occasional overtime may be required to meet credentialing deadlines or business needs.

Qualifications

• High school diploma or equivalent required.
• Associate degree or higher preferred.
• Minimum of 2 years of experience in provider credentialing, payer enrollment, medical staff services, or healthcare administration required.
• Experience with commercial and government payer enrollment processes strongly preferred.
• Working knowledge of CAQH, PECOS, NPPES, and payer enrollment portals required.
• Experience maintaining provider records and credentialing databases, including CredentialStream or similar credentialing software.
• Experience with hospital privileging and provider onboarding preferred.
• Prior experience in allergy, asthma, or specialty medical practices is a plus.

Requirements

• Strong attention to detail and organizational skills.
• Excellent written and verbal communication skills.
• Ability to prioritize tasks and manage multiple deadlines effectively.
• Ability to work independently and collaboratively in a remote environment.
• Proficiency in Microsoft Office Suite, EHR systems, practice management software, and online credentialing portals.
• Strong problem-solving and follow-up skills.

Benefits

• Competitive salary and benefits package, including medical, dental & vision insurance, 401(k) retirement plan with employer matching, and professional development opportunities.
• Paid time Off (PTO), sick time, floating holiday and holiday pay.
• Opportunity to shape the future of a thriving allergy and asthma practice in beautiful San Diego (and across our expanding network).
• A supportive, mission-focused culture where your contributions directly impact patient outcomes and team growth.