credentialing coordinator

Encore Wound Care

Job Overview The Clinical Document Coordinator is responsible for supporting provider credentialing and compliance activities by maintaining accurate records, monitoring licensure and certification expirations, and serving as a liaison between providers and the credentialing company. This role ensures all provider documentation is current, organized, and compliant with regulatory and organizational requirements.Responsibilities<ul><li>Licensure &amp; Certification Tracking</li><li>Monitor and track expiration dates for all provider licenses, certifications, and registrations</li><li>Proactively notify providers of upcoming expirations and renewal requirements and collect updated documentation</li><li>Maintain accurate and up-to-date records of all licensure documentation</li><li>Verify insurance coverage and perform insurance eligibility checks using managed care protocols</li><li>Prepare and maintain accurate medical records in compliance with HIPAA regulations and organizational policies</li><li>CAQH Profile Management</li><li>Create, update, and maintain provider profiles within CAQH</li><li>Ensure all attestations are completed on time</li><li>Upload and verify accuracy of provider documents within the CAQH system</li><li>Document Management &amp; Compliance</li><li>Organize and maintain digital files for all provider credentials, including licenses, malpractice insurance, DEA, and certifications</li><li>Ensure all required documentation is current and audit-ready</li><li>Assist with internal and external audits by providing requested documentation</li><li>Credentialing Coordination</li><li>Serve as the primary point of contact between providers and the credentialing company</li><li>Track credentialing application statuses and follow up as needed</li><li>Communicate any missing or incomplete items to providers promptly</li><li>Administrative Support</li><li>Maintain tracking logs and spreadsheets related to credentialing and compliance</li><li>Assist with onboarding new providers by gathering and organizing required documentation</li><li>Support ongoing compliance initiatives and process improvements</li></ul>Skills<ul><li>2+ years of administrative experience, preferably in healthcare or credentialing</li><li>Experience with CAQH and provider credentialing processes strongly</li><li>Experience with managed care processes and insurance verification procedures</li><li>Familiarity with HIPAA regulations to safeguard patient privacy and confidentiality</li><li>Previous medical office experience preferred for seamless integration into clinical workflows</li><li>Excellent organizational skills with attention to detail in record-keeping and documentation</li><li>Ability to communicate effectively with healthcare providers and internal teams, and 3rd party groups</li></ul>This role is perfect for motivated individuals eager to grow within the healthcare administration field. Join us in delivering exceptional patient care through efficient administrative support!Pay: $18.00 - $22.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Clinical Document Coordinator

HA-Technologies

WE ARE HIRINGCredentialing Specialist on urgent basis.━━━━━━━━━━━━━Company: MedxCode LLC.Location: Blue Area, IslamabadExperience: minimum 2 YearsKey Responsibilities:* Submitting credentialing applications for healthcare providers.* Follow-up with insurance companies regarding application status.* Managing and updating CAQH profiles.* Performing CAQH Attestation.* Ensuring all provider documents are complete and accurate.Perks &amp; Benefits:* Competitive salary package.* Friendly and professional work environment.* Learning and career growth opportunities.* Paid leaves as per company policy.Application Question(s):<ul><li>How many years of experience do you have in medical credentialing?</li><li>Do you have hands-on experience with CAQH profile management and attestation? (Yes/No)</li><li>Have you previously worked with US healthcare credentialing processes? (Yes/No)</li><li>Can you handle credentialing applications submission and follow-ups with insurance companies independently? (Yes/No)</li><li>Which credentialing software/tools have you used?</li><li>Are you familiar with insurance panels and provider enrollment processes? (Yes/No)</li><li>How soon can you join?</li><li>What is your expected salary?</li></ul>Work Location: In person

Credentialing Specialist

Clarvida

<div>Description 
 
 
Temporary Revenue Cycle Management Coordinator 
Location: Remote 
Employment Type: Full-time 
Salary: $22.50 an hour 
Date Posted: 04-13-2026
About the Role 
The Revenue Cycle Management Coordinator is responsible for clean claim submission, accounts receivable follow-up, collection and management of medical accounts, daily balancing controls, complex reporting, and completion of month-end and audit activities. This role also oversees credentialing for various insurance companies, ensuring all clinicians, locations, and services are properly credentialed with contracting payers to support timely reimbursement and compliance.<div>
Responsibilities 
<ul><li>Submit clean claims in a timely and accurate manner to ensure proper reimbursement</li><li>Perform accounts receivable follow-up and collections on outstanding medical claims</li><li>Manage and reconcile medical accounts to ensure accuracy and compliance</li><li>Maintain daily balancing controls and financial accuracy processes</li><li>Prepare complex reports to support revenue cycle analysis and operational insights</li><li>Complete month-end closing activities and support audit requirements</li><li>Coordinate and manage credentialing with various insurance companies</li><li>Ensure all clinicians, locations, and services are credentialed with contracting payers</li><li>Monitor credentialing statuses and maintain updated documentation records</li><li>Collaborate with internal teams to resolve billing discrepancies and payer issues</li></ul></div><div>
Required Qualifications 
<ul><li>High School diploma or GED</li><li>Two or more years of experience in medical billing and collections</li><li>Advanced Excel experience</li><li>Experience with accounts receivable management and reporting processes</li><li>Strong attention to detail and organizational skills</li></ul></div>
Compensation &amp; Benefits<div>
Full-time Employees: 
<ul><li>Paid vacation days (increase with tenure)</li><li>Separate sick leave that rolls over annually</li><li>Up to 10 paid holidays*</li><li>Medical, dental, and vision insurance options</li><li>DailyPay &ndash; access your earnings without waiting for payday*</li><li>Training, development, and continuing education credits for licensure requirements</li></ul></div><div>
All Employees: 
<ul><li>401(k)</li><li>Free licensure supervision</li><li>Pet insurance</li><li>Employee Assistance Program (EAP)</li><li>Perks @ Clarvida &ndash; national discounts on shopping, travel, Verizon, and entertainment</li><li>Mileage reimbursement*</li><li>Cellphone stipend*</li></ul></div>
(*Benefits may vary by state or county)
Work Location 
Remote
Employment Type 
Full-time
How to Apply 
If you are a detail-oriented revenue cycle professional with experience in medical billing, collections, and credentialing, click &ldquo;Apply Now&rdquo; to join Clarvida as a Revenue Cycle Management Coordinator.
About Clarvida 
Clarvida&rsquo;s success is built on the strength of our people and a shared commitment to improving lives and communities. We empower employees to bring their full potential to their work while delivering outcome-driven, person-centered services.
Learn more: http://www.clarvida.com/mission-vision-and-values/ 
See other opportunities: https://www.clarvida.com/working-at-clarvida
Equal Opportunity Employer 
Clarvida is an equal opportunity employer committed to diversity and inclusion. All qualified applicants will receive consideration without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, veteran status, or any other protected characteristic.
Fraud Alert 
Clarvida never charges fees to apply. Official communication regarding job opportunities will only come from authorized @clarvida.com email addresses or verified LinkedIn profiles associated with Clarvida email accounts. Recruiters will never conduct interviews via chat rooms or extend job offers without a thorough recruitment process.
Keywords 
Revenue Cycle Management Coordinator, Medical Billing, Accounts Receivable, Credentialing, Healthcare Administration, Claims Submission, Collections, Revenue Cycle, Clarvida Careers</div>

Revenue Cycle Management Coordinator (Temporary)

Top Line Resource Group (TLRG)

Location: DHA phase 8, Lahore (Onsite) Work Schedule: 05PM &ndash; 02AM Pakistan Time Employment Type: Full-time (Night Shift)Topline Resource Group (TLRG) is looking for a knowledgeable Credentialing and Enrollment Specialist to support the provider onboarding process and maintain payer credentialing records. This role focuses on ensuring healthcare providers are successfully enrolled with insurance carriers and that all credentialing documentation remains current and compliant with industry standards.The successful candidate will play an important role in coordinating credentialing activities, maintaining provider records, and communicating with payers to ensure smooth enrollment and approval processes.Core Responsibilities<ul><li>Handle the enrollment process for healthcare providers with insurance payers including Commercial plans, Medicare, Medicaid, and other specialty networks.</li><li>Maintain comprehensive credentialing documentation, ensuring records such as licenses, certifications, DEA registration, NPI information, and CAQH profiles remain accurate and updated.</li><li>Prepare and submit credentialing applications for new provider enrollment, renewals, and information updates with insurance carriers.</li><li>Monitor the progress of submitted applications and follow up with payers to facilitate timely processing and approvals.</li><li>Ensure all credentialing procedures comply with industry standards and payer policies, including NCQA and URAC requirements.</li><li>Review and validate provider documentation to confirm all credentialing criteria and regulatory standards are met.</li><li>Collaborate with internal departments such as Human Resources, Compliance, and Billing to support provider onboarding and credentialing updates.</li><li>Address credentialing discrepancies, assist with payer inquiries, and resolve enrollment-related issues when they arise.</li><li>Maintain organized records and generate reports related to provider enrollment and credentialing activities.</li></ul>Required Experience &amp; Qualifications<ul><li>Minimum 2&ndash;3 years of professional experience in provider enrollment and credentialing within the healthcare industry.</li><li>Strong understanding of U.S. healthcare insurance systems and credentialing workflows.</li><li>Working knowledge of credentialing standards including NCQA, URAC, and payer regulations.</li><li>Experience using credentialing platforms and EHR/Practice Management systems.</li><li>Strong organizational skills with the ability to manage multiple assignments efficiently.</li><li>Excellent written and verbal communication abilities.</li><li>High level of accuracy and attention to detail.</li></ul>Preferred Qualifications<ul><li>Experience handling provider enrollment across multiple U.S. states.</li><li>Ability to work independently in a fast-paced, high-volume environment while meeting deadlines.</li><li>Background in Revenue Cycle Management (RCM), medical billing, or healthcare administration is a plus.</li></ul>Pay: Rs80,000.00 - Rs110,000.00 per monthExperience:<ul><li>enrollment and credentialing: 2 years (Preferred)</li></ul>Work Location: In person

Credentialing and Enrollment Executive - (US Healthcare)

HBSS ACADEMY

Credentialing SpecialistExperience- 3 to 4 years Provenlocation- J Block, LDA Avenue One LahoreSalary: 100K to 120KTiming- US EST- 6 pm to 3 am in summer and 7 pm to 4 am in winterRoles and Responsibilities<ul><li>Initiate enrollment with insurance companies for all new providers</li><li>Maintain the timelines on enrollment schedules, communicate with billing and the office managers on updates as needed and explain payer information requirements</li><li>Work closely with physicians and office mangers to obtain missing documentation on providers for enrollment with insurance companies</li><li>Follow-up with insurance companies for provider participation status</li><li>Complete re-credentialing for existing providers</li><li>Able to effectively communicate with team members, billing staff and insurance companies</li><li>Retain detailed and accurate lists of insurances for which clients participate</li><li>Performs other related duties, which may be inclusive, but not listed in the job description</li><li>Complete provider credentialing/contract applications with third-party carriers and government health plans.</li><li>Review provider credentialing and contracting information to ensure completeness and accuracy.</li><li>Monitor applications and follow-up in a timely manner.</li><li>Document, maintain and crosscheck client credentials in multiple databases, including CAQH and other third-party databases, as applicable.</li><li>Create, update and track provider information in the internal credentialing system to ensure that credentials are completed timely and correctly.</li><li>Meet or exceed required timeframes for provider communications, enrollments, and follow-ups.</li><li>Maintain quality working relationships with internal and external customers.</li><li>Collect, Submit, &amp; Track all necessary documentation.</li><li>Process re-credentialing for existing clinicians as required by individual payers.</li><li>Maintain a current, accurate database of all clinicians&rsquo; credentialing / licensure status, needs, expirations, issues, etc. Share with internal staff as applicable.</li><li>Communicate &amp; Coordinate with all levels of internal staff &amp; external stakeholders to ensure timely &amp; consistent qualification is met &amp; maintained.</li><li>Monitor expiring credentials to ensure ongoing compliance with regulatory guidelines.</li><li>Investigate and resolve any issues that arise during the approval process.</li><li>Under the direction of leadership, assist with site level enrollments or changes to contract.</li><li>Other duties as deemed necessary.</li></ul>Contact HR.hr@thequestmbs.com 03324641025Pay: Rs100,000.00 - Rs120,000.00 per hourExpected hours: 45.0 per weekWork Location: In person

Mohawk Valley Health System

<div><div><div><h2 class="jobSectionHeader">Job Summary</h2></div><div>
The Lead Payer Enrollment Coordinator coordinates provider credentialing and payer enrollment activities to ensure timely and accurate enrollment with contracted insurance carriers. This role assigns and monitors team workload, supports issue resolution, and collaborates with recruitment, medical staff, RCM, and operational leaders to prevent revenue disruption. The Coordinator ensures compliance with payer requirements, maintains accurate provider data in MDStaff and EPIC, and supports continuous improvement within the Provider Enrollment Department.
</div></div><div><div><h2 class="jobSectionHeader">Core Job Responsibilities</h2></div><div><ul><li>
Coordinate and assign all new provider enrollments and provider changes to the Credentialing Team, ensuring balanced workload distribution and timely completion.</li><li>
Mentors and supports onboarding of new credentialing staff and junior staff; provides training and guidance on best practices.</li><li>
Serve as primary escalation point for complex provider and payer enrollment issues; communicate trends and barriers to the Provider Enrollment Manager.</li><li>
Collaborate with provider recruitment, medical staff, RCM, contracting, and operational leadership to support onboarding, facility enrollments, and prevent revenue delays.</li><li>
Monitor provider enrollment status across all carriers, ensuring accurate updates and documentation templates in MDStaff, enrollment tables in EPIC, and internal tracking tools.</li><li>
Communicates, at least monthly, with health plans (more if needed) to obtain statuses of providers and to address any claims issues including holds and denials.</li><li>
Ensure timely submission of new provider enrollments, facility applications, revalidations, terminations, roster updates, panel changes, and collaborating physician documentation.</li><li>
Lead enrollment activities for specialty programs including Residency NPIs and taxonomy updates, and physician extender requirements.</li><li>
Generate and distribute enrollment status reports and analyze denial trends to proactively address payer issues.</li><li>
Maintain working knowledge of payer policies, regulatory requirements, and credentialing platforms including CAQH, PECOS, and NPPES.</li><li>
Support process improvement initiatives and assist in development of departmental policies and procedures.</li><li>
Attend recruitment and payer meetings as required.</li><li>
Perform other duties as assigned.</li></ul></div></div><div><div><h2 class="jobSectionHeader">
Education/Experience Requirements</h2></div><div>
REQUIRED:<ul><li>
High School Diploma or equivalent</li><li>
5 years of healthcare provider credentialing/enrollment experience.</li><li>
Experience with CAQH, NPPES, PECOS, and credentialing platforms.</li><li>
Working knowledge of revenue cycle operations and payer enrollment structure.</li><li>
Strong organizational, analytical, and problem-solving skills.</li><li>
Excellent written and verbal communication abilities.</li><li>
Proficiency in Microsoft Excel and credentialing systems.</li><li>
Ability to manage multiple priorities in a fast-paced, team-oriented environment.</li><li>
Commitment to confidentiality and data accuracy.</li></ul></div></div><div><div><h2 class="jobSectionHeader">
Licensure/Certification Requirements</h2></div></div><div></div><div><div><h2 class="jobSectionHeader">
Disclaimer</h2></div><div>
Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability. 
Successful candidates might be required to undergo a background verification with an external vendor.</div></div><div><div><h2 class="jobSectionHeader">
Job Details</h2></div><div>
Req Id 97544 
Department REVENUE CYCLE 
Shift Days 
Shift Hours Worked 8.00 
FTE 1 
Work Schedule HRLY NON-UNION-8 HR 
Employee Status A1 - Full-Time 
Union Non-Union 
Pay Range $22.69 - $34.43/Hourly</div></div></div>

Lead Payer Enrollment Coordinator - Full Time - Days

CoreMedical Group

<div>Credentialing Specialist 
CoreMedical Group is a nationwide healthcare staffing agency located in Manchester, NH. Our company specializes in placing healthcare professionals in short term assignments at health care facilities across the United States. We currently have an internal opening for a Credentialing Specialist within our Quality Assurance Department. This is a full-time permanent position in our corporate office. 
This position is responsible for ensuring all healthcare professionals placed on assignment have all company and client facility onboarding requirements completed and active prior to assignment start date, including, but not limited to, drug screening, background checks, employment paperwork, competency testing, health screening and various other requirements. In this position, there is close coordination with other operations departments as well as the sales team. 
Summary of Job: Under the general direction of the Credentialing Specialist Team Lead, this position focuses on and is responsible for; ensuring healthcare professionals are properly credentialed prior to their assignment start date. In addition this person will have close interaction with other departments such as Sales and Operations. 

Supervisory Responsibilities: No 


Duties:
<ul>
<li>Working closely with each healthcare professional placed to coordinate and instruct on all required documentation and medical services needed for the assignment. Extensive contact with healthcare professionals throughout the process.</li>
<li>Coordination with other members of the department to arrange for background screening, drug testing and medical services required for healthcare professionals assignments; follow up as necessary.</li>
<li>Reviewing medical documentation, certifications, employment forms, testing, and all other requirements upon receipt to ensure that they meet client and company standards;</li>
<li>Working closely with internal sales teams to answer questions and provide status updates</li>
<li>Setting up online employment forms and testing for travelers as needed</li>
<li>Preparing employment packets for candidates starting assignments to forward to clients, or utilizing client web portals to upload all paperwork and documentation.</li>
<li>Daily updates of internal tracking sheet/database of all credentialing statuses</li>
<li>Other administrative tasks as related to this position</li>
<li>Performs other related duties as required.</li>
<li>
</li></ul>Required Skills/Abilities/Competencies:
<ul>
<li>Extensive knowledge of computers, Microsoft suite, expert Internet required</li>
<li>Strong proofreading skills</li>
<li>Must be self-motivated, detail-oriented individual with strong administrative skills and experience.</li>
<li>Ability to frequently change priorities and be able to multi-task in a high volume, deadline driven administrative role.</li>
<li>Must be outgoing and positive individual</li>
<li>Strong organizational &amp; communication skills are a must</li>
<li>Complete all aspects of position timely and accurately</li>
<li>Attend all required training seminars and meetings at scheduled time</li>
<li>Be able to work independently as well as part of a team.</li>
<li>Must maintain an excellent attendance and punctuality record.</li>
<li>
</li></ul>Education &amp; Experience:
<ul>
<li>High School Diploma Equivalent required</li>
<li>Must have 1 or more years of relevant or other experience</li></ul> 


Physical Requirements:
<ul>
<li>Prolonged periods of sitting and/or standing.</li>
<li>Daily use of computer system.</li></ul> 


Pay Range: Dependent on previous experience. 

Required Documentation: Confidentiality Agreement 
Core is a company that values transparency, growth, and fun. We measure success with traditional sales metrics, as well as how you fit in with and elevate our company culture. You can find our Mission and Core Values here. 
<ul>
<li>Day-1 Benefits: Take a peek at our comprehensive benefit program which includes health, vision, and even pet insurance options.</li>
<li>An evolving work environment: Remote and hybrid work schedules give you flexibility to work at home and in the office. In the office you'll have access to a fitness room, game room, and plenty of collaborative huddle spaces in a modern, bright work space.</li>
<li>Comprehensive training for new employees: We set you up for success from day one &ndash; we&rsquo;ve always got your back!</li>
<li>Recognition: Company-wide rallies, individual employee recognition, and company-sponsored outings all show our appreciation for the hard work you put in every day.</li>
<li>An all-inclusive, all expenses paid vacation: Every employee has the chance to earn a spot on our annual Club CoreMed trip to an all-inclusive resort in the Caribbean.</li>
<li>Health and wellness opportunities: Discounted gym memberships, on-site peer-chosen wellness programs, an on-site gym, hiking trails around the lake outside our door, and healthy lifestyle reimbursements to name a few.</li>
<li>An opportunity to give back: We participate in ongoing charity projects to support our local and global communities.</li>
<li>Bragging rights: When you work at Core, you&rsquo;re joining one of the Best Companies To Work For in NH.</li></ul> 


Compensation: $20.00-$23.00/hour. Depending on previous experience. 
CoreMedical Group provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability (physical/mental), genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.</div>

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4763 credentialing coordinator jobs Near Me

Clinical Document Coordinator

Credentialing Specialist

Revenue Cycle Management Coordinator (Temporary)

Credentialing and Enrollment Executive - (US Healthcare)

Credentialing Specialist

Lead Payer Enrollment Coordinator - Full Time - Days

Credentialing Specialist