Job Description

Credentialing & Provider Enrollment Specialist

Location: Philadelphia, PA

Schedule: Hybrid (Monday onsite, Tuesday-Friday remote)

Hours: 40 hours per week

Type: Open-Ended Contract with Potential for Permanent Conversion

About the Opportunity

We are seeking a Credentialing & Provider Enrollment Specialist to join a leading healthcare organization in Philadelphia. This role is a unique opportunity to support a high-impact provider enrollment cleanup project while gaining exposure within a renowned healthcare system. Strong performers may have the opportunity to convert to a permanent position.

Responsibilities

• Review and prepare provider enrollment and credentialing applications for accuracy and completeness.
• Submit enrollment packets to commercial and government payers in a timely manner.
• Maintain provider records, credential files, and enrollment databases.
• Follow up with providers to obtain required documentation for credentialing and re-credentialing.
• Monitor credential expiration dates and send renewal reminders at least 30 days prior to expiration.
• Perform CAQH re-attestations every 120 days for all providers.
• Maintain accurate provider information within NPPES and other credentialing systems.
• Communicate with insurance payers regarding application status and provider participation effective dates.
• Document all payer communications, correspondence, and follow-up activities.
• Research and provide support to the Billing Department regarding claims and enrollment-related issues.
• Scan, organize, and maintain credentialing documentation and records.

Qualifications

Required:

• 2+ years of experience in provider enrollment, medical insurance verification, billing, or provider relations.
• Knowledge of insurance billing and provider operations within a healthcare environment.
• Understanding of Medicare and Medicaid policies and procedures.
• Experience working with CAQH, Navinet, and ECHO.
• Proficiency with Microsoft Word, Excel, and PowerPoint.
• Strong organizational, analytical, and problem-solving skills.
• Excellent communication and collaboration abilities.

Why Join?

• Hybrid work schedule with only one day onsite per week.
• Opportunity to gain experience with a nationally recognized healthcare organization.
• Supportive leadership team and collaborative work environment.
• Modern office space with employee appreciation events and occasional catered breakfasts/lunches.
• Strong potential for long-term employment and permanent conversion based on performance.

Apply today to be considered for this exciting opportunity in provider enrollment and credentialing!

Job Type & Location

This is a Contract position based out of Philadelphia, PA.

Pay and Benefits

The pay range for this position is $24.00 - $28.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a hybrid position in Philadelphia,PA.

Application Deadline

This position is anticipated to close on Sep 25, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.