Medicare Credentialing Specialist

 Posted a day ago
     
0-2 years experience
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AI Summary

Manage end-to-end Medicare enrollment processes for healthcare providers, including submitting requests and tracking application statuses. Conduct provider outreach to gather missing documentation and maintain accurate records across internal systems.

Description

We are seeking three detail-oriented and driven Medicare Credentialing Specialists to support high-volume provider enrollment and credentialing operations. This role is ideal for individuals who are highly organized, tech-savvy, and eager to build or grow their career in Medicare enrollment and provider services.

Key Responsibilities

Manage end-to-end Medicare enrollment processes for healthcare providers

Review daily email communications for application approvals and requests

Track and update enrollment statuses across spreadsheets and internal systems

Submit requests and complete actions on behalf of providers once authorization is granted

Conduct outreach to providers to gather missing documentation or required information

Follow up on submitted applications approximately every 15 days

Maintain accurate records and ensure all data is properly documented

Handle a high volume of requests (approximately 20–70 requests per day)

Utilize templated email responses while maintaining a professional, warm, and clear communication style

Follow structured follow-up cadence (initial outreach + up to two follow-ups spaced 5–7 days apart)

Ensure all requests are legitimate and compliant before processing

Support both straightforward enrollments and more complex new provider cases requiring additional guidance

Additional Skills & Qualifications

Minimum 1 year of relevant experience (Medicare enrollment)

Strong attention to detail and ability to follow processes accurately

Comfortable working in a high-volume, fast-paced environment

Proficiency with MacBook and Google Workspace (Gmail, Sheets, Docs)

Strong written communication skills with the ability to remain professional, empathetic, and clear

Ability to manage multiple tasks and stay organized across tools (email + spreadsheets)

Self-starter mindset with strong problem-solving skills

Familiarity with systems such as:

PECOS (training provided)

CAQH

MacBook, Google Sheets

Soft Skills & Core Competencies

Strong work ethic and drive to succeed

“Go-getter” attitude with initiative when facing challenges

Resourceful and able to work through roadblocks independently

Collaborative mindset while also comfortable working autonomously

High level of diligence, especially when reviewing documentation

Ability to stay organized and maintain focus under high workload

Genuine care for quality of work and follow-through

***Must pass required screenings, including:***

OIG (Office of Inspector General) / LEIE screening

Verification that candidate is not excluded from Medicare participation

Job Type & Location

This is a Contract to Hire position based out of Mountain View, CA.

Pay and Benefits

The pay range for this position is $23.00 - $23.00/hr.

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 fully remote position.

Application Deadline

This position is anticipated to close on Jul 22, 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.

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