Credentialing Coordinator

Jobtailor; Asheville (NC); On-site; USD 42,000 - 64,000; Full time

Job summary

Jobtailor is seeking a Credentialing Coordinator in Asheville, NC to manage Medicaid and commercial payer credentialing and revalidation applications. You will proactively communicate with payers, maintain organized credentialing records, and collaborate with Compliance, Legal, and Provider Relations teams.

The role requires a high school diploma or equivalent, with preferred associate or bachelor’s degree and experience in administrative or compliance settings.

Qualifications

• High school diploma or equivalent is required; associate’s or bachelor’s degree is preferred.
• Experience in an administrative, operations, compliance, or coordination-focused role.
• Proficiency with Microsoft Office and Google Workspace, including spreadsheets and database-style tools.
• Strong time management skills and reliable follow-through.

Responsibilities

• Manage and submit government (Medicaid) and commercial payer credentialing and revalidation applications
• Proactively communicate with payers regarding application status, documentation needs, and approval timelines
• Maintain accurate, organized credentialing records and supporting documentation
• Partner cross-functionally with Compliance, Legal, Provider Relations, Corporate Development, and Emerging Markets teams
• Obtain and submit insurance certificates, surety bonds, accreditation documentation, and annual filings
• Prepare and process attestations, provider directory verifications, and roster submissions
• Track and process license renewals related to provider enrollment
• Complete CHOW submissions and other payer-specific updates
• Maintain digital credentialing files and submission records
• Process inbound payer communications, including physical mail received in-office

Skills

Time management

Education

High school diploma or equivalent

Associate or Bachelor's degree preferred

Tools

Microsoft Office

Google Workspace

Spreadsheets

Database-style tools

Job description

Responsibilities

• Manage and submit government (Medicaid) and commercial payer credentialing and revalidation applications
• Proactively communicate with payers regarding application status, documentation needs, and approval timelines
• Maintain accurate, organized credentialing records and supporting documentation
• Partner cross-functionally with Compliance, Legal, Provider Relations, Corporate Development, and Emerging Markets teams
• Obtain and submit insurance certificates, surety bonds, accreditation documentation, and annual filings
• Prepare and process attestations, provider directory verifications, and roster submissions
• Track and process license renewals related to provider enrollment
• Complete CHOW submissions and other payer-specific updates
• Maintain digital credentialing files and submission records
• Process inbound payer communications, including physical mail received in-office

Requirements

• High school diploma or equivalent required; associate’s or bachelor’s degree preferred
• Experience in an administrative, operations, compliance, or coordination-focused role
• Proficiency with Microsoft Office and Google Workspace, including spreadsheets and database-style tools
• Strong time management skills and reliable follow-through