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Mental Health Therapist - LCSW or LPC - Part Time
Physicians Practice Enhancement LLC
Hamilton, NJ
- Part-time
Added 5 hours ago
PP
Family Nurse Practitioner Part Time
Physicians Practice Enhancement LLC
Somerville, NJ
- Part-time
Added 6 hours ago
Family Nurse Practitioner
Physicians Practice Enhancement LLC
Daytona Beach, FL
Added 1 day ago
Medical Director for Outpatient center in Williams Port, PA
Physicians Practice Enhancement LLC
Williamsport, PA
Added 1 day ago
Family Medicine Medical Director - 4 day work week
Physicians Practice Enhancement LLC
Williamsport, PA
Added 3 days ago
Family Nurse Practitioner
Physicians Practice Enhancement LLC
Hamilton, NJ
Added 7 days ago
Pathologist Assistant PT
Physicians Practice Enhancement LLC
Las Cruces, NM
Added 7 days ago
LPN -Outpatient Experience
Physicians Practice Enhancement LLC
Somerville, NJ
Added 9 days ago
CAQH Specialist
Physicians Practice Enhancement LLC
Red Bank, NJ
Added 9 days ago
LPN Nurse Manager
Physicians Practice Enhancement LLC
Somerville, NJ
Added 9 days ago
LPN Nurse Manager - Outpatient Family Medicine
Physicians Practice Enhancement LLC
Somerville, NJ
Added 14 days ago
Pathologist - Per Diem Anatomic & Clinical Pathologist (AP/CP)
Physicians Practice Enhancement LLC
Yonkers, NY
Added 15 days ago
PP
Family Medicine Physician
Physicians Practice Enhancement LLC
Daytona Beach, FL
- $125 to $130 USD / hour
Added 15 days ago
PP
Neurology Nurse Practitioner-ICU Neuro Rotation
Physicians Practice Enhancement LLC
Lakewood, NJ
- $75 to $85 USD / hour
Added 15 days ago
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Nurse Practitioner - Neurology one week per month
Physicians Practice Enhancement LLC
Lakewood, NJ
- $75 to $85 USD / hour
Added 15 days ago
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Neurologist - Full Time or Part time
Physicians Practice Enhancement LLC
Freehold, NJ
- Full-time
- Part-time
Added 16 days ago
Physical Therapist - To cover Vacation 12/21 to 12/31
Physicians Practice Enhancement LLC
Franklin Township, NJ
Added 16 days ago
Family Medicine Physician - Bilingual-FT or PT
Physicians Practice Enhancement LLC
Newark, NJ
Added 16 days ago
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Radiology Technician - Full Time
Physicians Practice Enhancement LLC
Somerville, NJ
- Full-time
Added 16 days ago
PP
Radiology Technician - Full Time or Part Time
Physicians Practice Enhancement LLC
Somerville, NJ
- $40 USD / hour
- Full-time
- Part-time
Added 16 days ago
Family Nurse Practitioner
Physicians Practice Enhancement LLC
Williamsport, PA
Added 16 days ago
Pathologist - Medical Director
Physicians Practice Enhancement LLC
Las Cruces, NM
Added 16 days ago
Pathologist - General Surgical
Physicians Practice Enhancement LLC
Ashtabula, OH
Added 16 days ago
Pathology Medical Director
Physicians Practice Enhancement LLC
Ashtabula, OH
Added 16 days ago
Neurologist - 4 shifts per month
Physicians Practice Enhancement LLC
Freehold, NJ

Physicians Practice Enhancement LLC

CAQH Specialist

Red Bank, NJ, United States

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Job details

Posting language: English
Posted: Oct 21, 2026

Original job description

Position Summary The CAQH Specialist maintains complete, accurate, and current provider profiles in the CAQH Provider Data Portal to support timely credentialing and payer enrollment. This role owns assigned provider records, proactively resolves deficiencies, coordinates with providers and internal teams, and meets defined quality and turnaround expectations. Essential Responsibilities

Create, update, and maintain CAQH profiles for assigned healthcare providers, including demographics, practice locations, education, training, licenses, certifications, insurance, and work history.
Monitor attestation and reattestation requirements; coordinate provider review and authorization and complete permitted actions within established deadlines.
Collect, verify, and upload required supporting documents; track expirations and resolve missing, inconsistent, or outdated information.
Identify discrepancies between CAQH, internal credentialing systems, and payer enrollment records; escalate material mismatches.
Communicate professionally with providers, practice contacts, and credentialing/enrollment colleagues to obtain outstanding items.
Document work performed, follow-up attempts, barriers, and completion dates in designated systems; maintain reliable status reporting.
Prioritize urgent provider starts, payer deadlines, expiring credentials, and overdue tasks according to department SLAs.
Protect confidential provider information and follow company security, privacy, access-control, and approved remote-work procedures.
Participate in quality audits, process improvement, and cross-training as assigned.

Qualifications

High school diploma or equivalent required; associate degree or relevant training preferred.
Data Entry Experience
Strong attention to detail, organizational skills, follow-through, and written communication.
Comfort with spreadsheets, shared work queues, secure document systems, and remote collaboration tools.
Ability to manage a high-volume assigned portfolio with minimal supervision.

Performance Expectations Performance will be assessed through profile accuracy, timely attestations, document completeness, work-queue aging, productivity, provider responsiveness, and adherence to assigned SLAs. Specific numeric targets will be set by department leadership. Working Conditions & Equal Opportunity Remote computer-based work with routine video/telephone collaboration. ProCred is committed to equal employment opportunity and considers qualified applicants without regard to legally protected characteristics. Reasonable accommodations are available in accordance with applicable law.

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Skills

Reporting
Process improvement
Data entry
Attention to detail
Organizational skills
Communication skills
Collaboration

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