Provider Credentialing and Enrollment Associate

Department: HR

Reporting Manager: HR Director

Position Status: Non-exempt

FLSA Level: Varies

Revised: 03/2026

Position Summary:

The Provider Credentialing and Enrollment Associate is responsible for preparing and submitting enrollment applications and tracking credentialing statuses. They will coordinate with providers, insurance companies and internal teams to ensure timely approvals and renewals. The associate plays a key role in maintaining provider data and facilitating uninterrupted participation in insurance networks.

Supervisory Responsibilities:

• None

Essential Functions/Responsibilities of the Position:

• Manage the full-cycle credentialing process for healthcare providers, including initial credentialing and recredentialing
• Prepare and submit provider enrollment applications to commercial, federal, and state payors (e.g., Medicare, Medicaid, private insurers)
• Maintain accurate and up-to-date provider records in credentialing databases (e.g., CAQH)
• Track application status and follow up with payors to ensure timely approvals
• Ensure compliance with regulatory requirements, accreditation standards, and organizational policies
• Maintain knowledge of payor enrollment requirements and updates
• Assist with contract loading and provider roster submissions as needed
• Respond to internal and external inquiries regarding provider enrollment status
• Support reporting related to credentialing and enrollment activities
• Other duties as assigned.

Position Qualifications:

EDUCATION:

• High School Diploma or equivalent General Education Development (GED) certificate
• Associate's degree preferred

EXPERIENCE (Years & Certifications):

• 1 year experience preferred

SKILLS:

• Data entry and database management
• Document management and recordkeeping
• Experience with payer portals
• Attention to detail and accuracy
• Time management and prioritization

Position Requirements and Working Conditions:

EEO Statement

The Chautauqua Center is an Equal Opportunity Employer and considers all candidates for employment regardless of race, color, national origin, religion, sex, age, disability, citizenship, pregnancy, military status, marital status, sexual orientation, or any other characteristics protected by law.