Credentialing Coordinator

Job Summary

Managing the end-to-end credentialing and payer enrollment process, the full-time Credentialing Coordinator will ensure accurate and compliant credentialing files for behavioral health providers while working remotely across multiple states.

Key responsibilities

• Oversee provider onboarding, including data entry and communication to ensure completion of credentialing documentation
• Conduct primary source verifications and maintain provider profiles in compliance with regulatory requirements
• Collaborate with cross-functional teams to facilitate timely onboarding and resolve credentialing issues

Required qualifications

• High school diploma or equivalent required
• 2 years of experience in provider credentialing or payer enrollment
• General knowledge of Medicare, Medicaid, and managed care regulatory requirements
• Experience with credentialing software platforms and provider enrollment systems
• Strong customer service orientation and communication skills for provider interactions