Provider Credentialing and Enrollment Associate

Department: HRReporting Manager: HR Director Position Status: Non-exemptFLSA Level: VariesRevised: 03/2026Position 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:NoneEssential Functions/Responsibilities of the Position:Manage the full-cycle credentialing process for healthcare providers, including initial credentialing and recredentialingPrepare 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 approvalsEnsure compliance with regulatory requirements, accreditation standards, and organizational policiesMaintain knowledge of payor enrollment requirements and updatesAssist with contract loading and provider roster submissions as neededRespond to internal and external inquiries regarding provider enrollment statusSupport reporting related to credentialing and enrollment activitiesOther duties as assigned.Position Qualifications:EDUCATION: High School Diploma or equivalent General Education Development (GED) certificateAssociate's degree preferredEXPERIENCE (Years & Certifications):1 year experience preferredSKILLS: Data entry and database managementDocument management and recordkeepingExperience with payer portalsAttention to detail and accuracyTime management and prioritizationPosition Requirements and Working Conditions: Physical ActivitiesFrequency(N)Never - 0%, (O)Occasionally - 50% or (C)Constantly - 100%Ascending or descending stairs and the like.ORemaining in a stationary position, often standing or sitting for prolonged periods.CMoving about to accomplish tasks.OCommunicating with others to exchange information.CRepeating motions that may include the wrists, hands and/or fingers.CTravel to meet with various stakeholdersNAssess risk, detect risk factors for site safety purposes through being aware of surrounding environment, individuals, noises, observations, etc.OEnvironmental ConditionsFrequency(N)Never - 0%, (O)Occasionally - 50% or (C)Constantly - 100%Low temperatures.NHigh temperatures.NOutdoor elements such as precipitation and wind.NNoisy environments.NHazardous conditions.NPoor ventilation.NSmall and/or enclosed spaces.NAdverse environmental conditions expected.NPhysical DemandsFrequency(N)Never - 0%, (O)Occasionally - 50% or (C)Constantly - 100%Sedentary work that primarily involves sitting/standing.CLight work that includes moving objects up to 20 pounds.OMedium work that includes moving objects up to 50 pounds.NHeavy work that includes moving objects up to 100 pounds or more.NEEO StatementThe 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.

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