Credentialing Coordinator

We are looking for an organized Credentialing Coordinator to manage provider enrollment and credentialing for our healthcare clients. You will prepare and track applications with payers, keep credentials current and help providers join the networks they need. This role is a great fit for someone who is methodical, persistent and excellent at follow-up.

Responsibilities

• Prepare and submit initial credentialing and payer enrollment applications
• Manage re-credentialing and revalidation deadlines
• Create and maintain CAQH profiles and provider credential files
• Assist with NPI, PECOS and Medicare and Medicaid enrollment
• Track application status and follow up with payers until completion
• Monitor license, DEA and malpractice insurance expiration dates
• Communicate progress and document requests clearly to client practices

Requirements

• Experience in provider credentialing or payer enrollment
• Familiarity with CAQH, PECOS, NPPES and payer portals
• Excellent organizational and time-management skills
• Strong attention to detail and follow-through
• Clear written and verbal communication
• Ability to handle confidential information responsibly
• Credentialing certification (such as CPCS) is a plus