Assistant Coordinator of Payer Credentialing

Saint Francis Healthcare System; Cape Girardeau (MO); On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Comprehensive health coverage

Education Assistance up to $5,000

Earned Time Off (ETO)

Job summary

A regional healthcare provider is seeking a Credentialing Specialist responsible for the credentialing and re-credentialing of hospital and provider practices. Key responsibilities include ensuring accurate and timely documentation for health plans, maintaining records in credentialing databases, and collaborating with vendors and payers. Ideal candidates will possess strong oral and written communication skills, have two to five years of payer credentialing experience, and be able to work independently. Comprehensive health coverage and education assistance are provided.

Qualifications

• Two to five years of payer credentialing experience with Medicare and Medicaid understanding preferred.
• Certified Provider Credentialing Specialist preferred.
• Excellent oral and written skills for communication with various stakeholders.

Responsibilities

• Credential providers accurately and timely for health plans.
• Maintain data in credentialing database and online systems.
• Track license and certification expirations for timely renewal.

Skills

Oral and written communication skills

Problem-solving skills

Organizational skills

Attention to detail

Ability to work independently

Relationship management skills

Education

High school graduate/equivalent

Tools

Credentialing databases

Online systems

Job description

Job Summary

This position is responsible for all aspects of credentialing and re‑credentialing of hospital, all physician practices, and providers for Saint Francis Healthcare System. It ensures providers are credentialed, appointed, and privileged with health plans accurately and timely, maintains data in credentialing database and online systems, and guarantees timely renewal of licenses, certifications, and validations. The role reports directly to the Medical Staff Coordinator and has a matrixed reporting relationship to revenue cycle leadership.

Job Details & Requirements

• Type: Full‑time, 80 hours per 2‑week pay period
• Typical hours: Monday‑Friday, 8:00 a‑4:30 p

Education

• High school graduate/equivalent – required

Certification & Licensures

• Certified Provider Credentialing Specialist – preferred

Experience

• Two to five years of payer credentialing experience with a strong understanding of Medicare, Medicaid, commercial payers, hospital & rural health specific requirements – preferred
• Excellent oral and written communication skills for working with physicians, practice management, vendors, and payers
• Strong problem‑solving skills and attention to detail
• Exceptional organization and accurate follow‑through
• Ability to work independently with minimal supervision
• Ability to establish and maintain effective working relationships with providers and external contacts

Knowledge & Skills

• Compiles and maintains current and accurate data for hospitals and providers
• Prepares and monitors credentialing and re‑credentialing applications and follows up as needed
• Maintains copies of state licenses, DEA certificates, and other credentialing documents
• Stays current on health plan and agency requirements for credentialing, including Rural Health, Medicare, Medicaid, and commercial payers
• Sets up and maintains information in online credentialing databases and systems
• Tracks license and certification expirations for hospitals and providers to ensure timely renewal and re‑validation
• Ensures information remains current with all health plans, agencies, and other entities
• Collaborates with insurance representatives to maintain accurate provider information in health plan directories
• Performs other duties as assigned

Total Rewards

• Comprehensive and affordable health coverage including medical, prescription, dental and vision
• Saint Francis Medical Services Discount
• Earned Time Off (ETO) based on years of work history
• Retirement benefits including SFHS immediate matching
• Education Assistance up to $5,000 per calendar year for one year of service after graduation
• Other benefits: benefit support through Health Advocate, employee assistance program, flexible spending accounts, identity theft protection, pet insurance, earned wage access

Equal Employment Opportunity

Saint Francis Healthcare System provides equal employment opportunities (EEO) to all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, or genetics. The company complies with federal, state, and local non‑discrimination laws and policies, including the ADA Amendments Act (ADAAA). For accommodations related to disabilities, please call 573‑331‑5152 or email [e-mail].