Credentialing Coordinator

Insight Global; Marlton (NJ); Hybrid; USD 55,000 - 70,000; Full time

Job summary

A leading staffing firm is seeking a CAQH Credentialing Coordinator for a large medical group in Marlton, NJ. This hybrid role requires managing credentialing activities and ensuring data accuracy for a panel of 300-350 providers. The ideal candidate has over 3 years of credentialing or billing experience, strong knowledge of CAQH and PECOS, and excellent communication skills. The position offers electronic work with provided equipment.

Qualifications

• At least 3 years of credentialing or billing experience.
• Strong knowledge of CAQH, NPI, and PECOS.
• Excellent communication and organizational skills.
• Proficiency in Excel and basic data manipulation.

Responsibilities

• Coordinate compliance of clinician information in CAQH and PECOS databases.
• Update and attest provider data, ensuring ADA compliance.
• Process monthly CAQH attestations and onboard new providers.
• Manage a panel of roughly 300–350 providers using DocuSign.
• Collaborate with the credentialing team on expirable items.

Skills

Credentialing experience

Knowledge of CAQH

Communication skills

Organizational skills

Proficiency in Excel

Job description

Overview

Insight Global is seeking a CAQH Credentialing Coordinator for a large medical group in Marlton, NJ. This is a hybrid role with 1 day onsite per week. The coordinator manages credentialing activities, ensures data accuracy, and supports onboarding and payer processes.

Responsibilities

• Coordinate compliance and accuracy of clinician information in CAQH and PECOS databases for VMG clinicians, ensuring timely recredentialing and billing capability.
• Update and attest provider data, maintain practice location information for ADA compliance, and manage Medicare/Medicaid rosters.
• Process monthly CAQH attestations and onboard new providers, handling basic data manipulation in Excel.
• Communicate with medical affairs and payer credentialing teams to address expirable items and keep credentialing data up to date.
• Manage a panel of roughly 300–350 providers and use DocuSign for required documentation.
• Work independently with strong work ethic; demonstrate excellent communication and organizational skills.
• Collaborate with a team that includes 3 coordinators, 1 specialist, 1 supervisor, and the AVP of Physician Compliance.

Qualifications

• At least 3 years of credentialing or billing experience.
• Strong knowledge of CAQH, NPI, and PECOS.
• Excellent communication and organizational skills; ability to work independently and remotely.
• Proficiency in Excel and basic data manipulation.
• Ability to manage a large provider panel (300–350) and work in a hybrid environment (1 day onsite in Marlton, NJ).

All work is electronic and equipment will be provided. This role is part of a larger team dedicated to physician compliance and credentialing.