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Credentialing & Enrollment Specialist

Matter Health
CompanyMatter Health
CategoryHR & Recruiting
LocationNashville
RemoteHybrid
EmploymentNot stated
LevelMid
SalaryNot stated by the employer
Posted30 Jul 2026
Last verified9 Aug 2026
SourceEmployer ATS (ashby)
Applications are handled by the employer, not by us.Apply on the employer's site →
Description
ABOUT MATTER HEALTH Matter Health delivers primary and preventive healthcare directly to older adults living in affordable housing communities. Our mission is simple: to improve healthcare access by meeting patients where they are and building trusted relationships within the communities we serve. As we rapidly expand across the country, we are building a team of mission-driven professionals who thrive in fast-paced, collaborative environments.   Total Healthcare. Where you live.   ABOUT THE ROLE Matter Health is seeking an experienced Credentialing & Enrollment Specialist to join our growing team. In this role, you will manage the credentialing, enrollment, and ongoing maintenance of our physicians and advanced practice providers across multiple markets.   As a key member of our Credentialing & Enrollment team, you will ensure providers are credentialed, enrolled, and prepared to deliver care. You will collaborate closely with Clinical Operations, Revenue Cycle, Compliance, Human Resources, and external payer organizations.   This position is ideal for someone who takes ownership, thrives in a detail-oriented environment, and excels at keeping complex processes organized from start to finish. You will play a critical role in supporting Matter Health’s continued growth by guiding providers through the credentialing and enrollment lifecycle.   RESPONSIBILITIES - Manage all aspects of provider credentialing, recredentialing, and payer enrollment activities from start to finish - Prepare, submit, monitor, and maintain Medicare, Medicaid, and commercial payer enrollment applications - Maintain provider records in CAQH, PECOS, NPPES, and other relevant information systems - Track credentialing and enrollment timelines to ensure providers are approved and ready to practice - Coordinate provider demographic updates, revalidations, and enrollment changes with payer organizations - Monitor application status and proactively resolve credentialing and enrollment issues - Maintain accurate provider records and organize credentialing documentation - Collaborate closely with Clinical Operations, Compliance, Revenue Cycle, HR, and external organizations throughout the credentialing process - Ensure compliance with internal policies, regulatory requirements, and payer guidelines - Identify and implement opportunities to improve credentialing workflows, documentation, and operational efficiency - Support organizational growth by credentialing providers across new and existing markets   QUALIFICATIONS - 3+ years of provider credentialing and payer enrollment experience preferred - Demonstrated experience independently managing credentialing and enrollment from application to approval - Working knowledge of Medicare, Medicaid, and commercial payer enrollment processes - Experience using CAQH, PECOS, NPPES, Availity, and payer enrollment portals - Strong understanding of credentialing documentation requirements and provider lifecycle management - Excellent organizational skills with the ability to manage multiple providers and deadlines simultaneously - Meticulous attention to detail and a commitment to accuracy - Exceptional written and verbal communication skills - Ability to work independently while collaborating across multiple departments - Proficiency with Microsoft Office, including Excel   PREFERRED QUALIFICATIONS - Experience within value-based care, primary care, physician groups, or Medicare Advantage organizations - Experience supporting multi-state credentialing and enrollment - Familiarity with delegated credentialing programs - Experience working with advanced practice providers and physicians - Knowledge of credentialing software and provider database management - Process improvement or workflow optimization experience   WHAT SUCCESS LOOKS LIKE - Managing provider credentialing and payer enrollment with minimal supervision - Maintaining accu