Credentialing Coordinator

Location: Remote Position Pay Range: $20.78 - $36.53 POSITION SUMMARY Processes credentialing and re-credentialing applications of health care practitioners/providers. Monitors Credentialing group inbox to ensure all emails are addressed. Researches and solves participation issues as they arise. Supports the financial goals of the company by being fiscally responsible in all areas, including staffing and purchasing. Key Performance Areas KPA 1 – Credentialing & Provider Enrollment Management Coordinate and process initial credentialing, re-credentialing, enrollment, reenrollment, provider updates, and reappointments with commercial payers, government agencies, hospitals, and licensing entities. Prepare, review, and submit credentialing applications accurately, ensuring completeness and compliance with payer, regulatory, accreditation, and organizational requirements. Manage provider participation to support timely onboarding and uninterrupted network participation. KPA 2 – Provider Data Integrity & Compliance Maintain accurate provider records within credentialing systems, CAQH, payer portals, and related databases. Obtain, verify, and maintain all required credentialing documentation, including licenses, certifications, board certifications, malpractice coverage, DEA registrations, and curriculum vitae. Monitor licensure, certifications, insurance, and credential expiration dates to ensure continuous compliance and prevent lapses in participation. Maintain audit-ready files and support accreditation surveys, delegated credentialing activities, and regulatory compliance reviews. KPA 3 – Credentialing Coordination & Stakeholder Support Serve as the primary credentialing contact for assigned providers, payers, hospitals, and internal departments. Monitor application progress, confirm receipt and submission, and proactively follow up with external organizations to meet established turnaround times. Collaborate with Provider Relations, Operations, Revenue Cycle, Billing