Provider Credentialing Coordinator

Job Summary

To support a growing practice, the full-time Enrollment & Credentialing Coordinator will manage provider enrollment, ensure compliance with payer requirements, and facilitate relationships between providers and payers, all while working remotely.

Key responsibilities

• Ensure all providers are fully credentialed and enrolled according to regulations, maintaining accurate databases and managing enrollment workflows
• Oversee compliance with payer credentialing requirements, preparing reports for audits and maintaining organized, audit-ready credentialing files
• Act as a liaison between providers, payers, and internal teams to facilitate issue resolution and provide education on reimbursement structures and credentialing expectations

Required qualifications

• Associate's or bachelor's degree in healthcare administration, business, or a related field, or equivalent relevant experience
• Minimum of 4+ years of experience in provider credentialing and payer enrollment
• Strong knowledge of payer credentialing requirements and contract structures
• Minimum of 3+ years of experience in revenue cycle management and healthcare compliance standards
• Proactive, self-motivated, and adaptable to the evolving needs of a growing organization