Pediatric Home Service

Credentialing Coordinator

• Coordinate provider credentialing and recredentialing processes in accordance with regulatory requirements and organizational standards
• Collect, review, and verify provider documentation, including licenses, certifications, education, work history, malpractice insurance, and references
• Track license, certification, and credential expiration dates and help ensure timely renewals
• Complete and submit Medicare and Medicaid enrollment applications accurately and timely
• Serve as a primary point of contact for providers regarding credentialing status, required documentation, and outstanding items
• Maintain accurate provider information within credentialing software, files, and tracking systems
• Communicate with state agencies, licensing boards, CMS, and other external organizations to obtain or verify provider information
• Support credentialing-related audits, inquiries, and requests for information
• Partner with Human Resources, Compliance, and Clinical Operations to support a smooth provider onboarding and credentialing experience
• Identify and help resolve credentialing issues in a timely and professional manner
• Prepare and maintain reports related to credentialing status, turnaround times, and other key metrics
• Maintain confidentiality of provider information in accordance with HIPAA and organizational requirements