The Provider Enrollment/Credentialing Specialist at OMH Healthedge Holdings Inc will serve as the central liaison among providers, medical staff services, payer organizations, revenue cycle teams, and practice leadership. This role is responsible for enrolling, maintaining, and linking providers to payer systems, guaranteeing accurate billing, swift reimbursement, and adherence to all applicable regulations across the Central and West regions.

Responsibilities

• Submit and track enrollment applications for physicians, APPs, and eligible practitioners with Medicare, Medicaid, and commercial payers.
• Maintain up‑to‑date credentialing files, ensuring all licenses, certifications, and privileging documents are current.
• Coordinate with medical staff services to verify provider privileges and resolve discrepancies.
• Monitor enrollment status dashboards and proactively address pending or denied applications.
• Communicate enrollment requirements and updates to providers and practice leadership.
• Collaborate with revenue cycle teams to ensure accurate payer linkage for billing purposes.
• Respond to payer inquiries, audits, and re‑credentialing requests in a timely manner.
• Develop and maintain standard operating procedures and documentation for enrollment processes.
• Train and support new providers on enrollment workflows and compliance expectations.
• Generate regular reports on enrollment metrics, turnaround times, and compliance status for senior management.

Qualifications

• Bachelor's degree in Health Administration, Business, or related field; or equivalent experience.
• 2+ years of experience in provider enrollment, credentialing, or payer relations within a hospital or health system.
• Strong knowledge of Medicare, Medicaid, and commercial payer enrollment requirements.
• Excellent organizational skills with the ability to manage multiple applications simultaneously.
• Proficiency with enrollment software platforms (e.g., CAQH, PECOS) and Microsoft Office Suite.
• Effective communication skills for interacting with providers, payers, and internal teams.
• Detail‑oriented mindset with a focus on regulatory compliance and accuracy.
• Ability to analyze enrollment data and produce actionable reports.
• Experience working in a multi‑regional or multi‑site health organization is preferred.
• Certified Provider Enrollment Specialist (CPE) or similar credential is a plus.

Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support. Omega Healthcare serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines. For more information, visit www.omegahms.com

We offer a comprehensive benefits package that may include health, dental, and vision coverage, voluntary insurance options, a 401(k) plan with employer match, professional development opportunities, paid time off, and holiday pay. Eligible employees may also have the opportunity to participate in bonus programs, commissions, or other variable incentive plans. Benefits and incentive eligibility may vary based on position, location, and tenure.

AAP/EEO Statement

Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories.

Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at employeerelationsus@omegahms.com.