Credentialing Coordinator

Pediatric Home Service

. Coordinate provider credentialing and recredentialing processes in accordance with regulatory requirements and organizational standards .

Posted 9/22/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare credentialing processes, including Medicare and Medicaid enrollment, while ensuring compliance with regulatory requirements and maintaining accurate provider information. Strong organizational and communication skills are essential for managing multiple priorities and collaborating with various stakeholders.

Highest-signal resume keywords

Healthcare CredentialingMedicare EnrollmentMedicaid EnrollmentRegulatory ComplianceAttention to Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Credentialing ProcessesPayer EnrollmentDocumentation VerificationLicense TrackingRegulatory RequirementsAccreditation StandardsHealthcare AdministrationCredentialing AuditsMulti-Location CredentialingHealthcare Management Systems

Soft Skills

Strong Communication SkillsOrganizational SkillsTime ManagementProblem-SolvingResponsiveness

Tools & Technologies

Credentialing SoftwareMicrosoft Office

Industry Keywords

HIPAACMSState Medicaid ProgramsInsurance PayersHealthcare Facilities

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

High school diploma or equivalent required
Associate or bachelor’s degree in Healthcare Administration, Business, or a related field preferred
1–3 years of experience in healthcare credentialing, facility credentialing, payer enrollment, compliance, or healthcare administration preferred
Experience with facility-level credentialing and enrollment strongly preferred
Experience completing and maintaining Medicare and Medicaid enrollment applications and working with commercial payers preferred
Experience supporting credentialing or enrollment for healthcare facilities, locations, branches, or organizations, rather than solely individual provider credentialing, preferred
Familiarity with healthcare regulatory requirements, HIPAA, accreditation standards, and payer requirements
Experience working with CMS, state Medicaid programs, insurance payers, licensing agencies, or other regulatory entities preferred
Ability to track multiple applications, renewals, licenses, certifications, deadlines, and outstanding documentation simultaneously
Strong attention to detail with the ability to identify missing or inconsistent information and follow items through to resolution
Strong written and verbal communication skills with the ability to work effectively with payers, regulatory agencies, internal leaders, and operational teams
Strong organizational and time-management skills with the ability to independently manage competing priorities in a remote, fast-paced environment
Proficiency with Microsoft Office and experience with credentialing, enrollment, or healthcare management systems
Demonstrated accountability, responsiveness, and consistent follow-through
Preferred: Facility credentialing and payer enrollment experience
Experience credentialing or enrolling multiple healthcare locations, facilities, or branches across multiple states
Experience with Medicare, Medicaid, and commercial payer enrollment
Experience supporting credentialing audits, renewals, and regulatory requests
Experience within home healthcare, DME, pediatric healthcare, or another multi-location healthcare organization

Benefits

Comp & perks

Generous Paid Time Off (PTO) for full-time employees to support a healthy work-life balance
401(k) Matching to help secure your future
Tuition Reimbursement to support your educational and professional growth
Professional Development & Learning Opportunities
Health and Dental Insurance
Short & Long Term Disability and Life Insurance