Credentialing Coordinator

Job Summary

Managing the end-to-end credentialing and payer enrollment process for behavioral health providers, the full-time Credentialing Coordinator will ensure accurate and compliant credentialing files while serving as a subject matter expert on credentialing requirements, all within a fully remote work environment.

Key responsibilities

• Oversee provider onboarding and maintain accurate provider information, including licensure and payer details
• Initiate and track communications with providers to collect required documentation for credentialing
• Conduct primary source verifications and manage ongoing maintenance and recredentialing cycles for providers

Required qualifications

• High school diploma or equivalent required
• 2 years of experience in provider and/or facility credentialing or payer enrollment
• General knowledge of regulatory requirements related to credentialing and payer enrollment
• Experience working with credentialing software or management systems
• Strong customer service orientation with effective communication skills