Payor Credentialing Coordinator

We are seeking a Payor Credentialing Coordinator to manage all aspects of payer enrollment and credentialing for healthcare providers, ensuring seamless participation in Medicare, Medicaid, and commercial insurance networks.

Responsibilities

• Manage the entire payer credentialing process: prepare and submit applications, track approvals, and maintain accurate provider records
• Enroll new providers with Medicare, Medicaid, and commercial insurance companies to expand network access
• Maintain re-credentialing schedules to avoid lapses in provider participation
• Manage CAQH profiles and update NPPES registrations
• Collect, verify, and maintain critical provider credentials, including licenses, certifications, and malpractice insurance
• Ensure compliance with state, federal, and payer-specific credentialing requirements
• Serve as liaison between providers, insurance payers, and internal teams such as billing and HR
• Respond to payer inquiries and resolve credentialing delays or issues promptly
• Lead or participate in status meetings to prioritize credentialing projects and meet deadlines

Requirements

• High school diploma required; associate or bachelor’s degree in healthcare administration, business, or related field preferred
• 1–3 years of experience in healthcare credentialing, billing, or healthcare administration
• Familiarity with CAQH and NPPES systems preferred
• Must be fluent in English (written and spoken)
• Certified Provider Credentialing Specialist (CPCS) through NAMSS preferred

Skills

• Strong knowledge of healthcare credentialing processes and payer enrollment
• Proficient in Microsoft Excel and other data management systems
• Excellent organizational skills with the ability to prioritize multiple tasks and meet deadlines
• Exceptional verbal and written communication skills
• High attention to detail and accuracy in data entry and document management
• Ability to handle confidential information with discretion
• Strong problem-solving and analytical abilities
• Customer service oriented with a professional approach to interactions

Benefits

For All Associates (Full-Time, Part-Time & Per Diem):

• Competitive Pay
• 401(k) with Company Match
• Career Advancement Opportunities
• National & Local Recognition Programs
• Teammate Assistance Fund

Additional Full-Time Benefits:

• Medical, Dental, Vision Insurance
• Mileage Reimbursement or Fleet Vehicle Program
• Generous Paid Time Off + 7 Paid Holidays
• Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
• Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
• Free Continuing Education Units (CEUs)
• Company-paid Life & Long-Term Disability Insurance
• Voluntary Benefits (Pet, Critical Illness, Accident, LTC)

This is a safety-sensitive, full-time position. Employee must meet minimum requirements to be eligible for benefits where applicable.