Credentialing Coordinator

Davita Inc.; Mountain View (CA); Remote; USD 100,000 - 125,000; Full time

Job summary

A leading company in healthcare services is seeking a provider enrollment specialist to manage applications with Medicare, Medicaid, and commercial insurance. This fully remote position requires attention to detail and the ability to collaborate with various stakeholders to ensure timely processing and compliance. Excellent communication and organizational skills are a must for success in this fast-paced environment.

Benefits

Medical, dental & vision

401(k) Retirement Plan

Life Insurance

Short and long-term disability

Employee Assistance Program

Paid Time Off

Qualifications

• 1-2 years of experience in provider enrollment or credentialing.
• Strong understanding of Medicare, Medicaid, and commercial insurance enrollment processes.
• Ability to manage multiple tasks and meet deadlines in a fast-paced environment.

Responsibilities

• Prepare and submit enrollment applications for healthcare providers.
• Maintain accurate provider records in internal databases.
• Monitor re-credentialing and revalidation timelines.

Skills

Organizational skills

Communication

Problem-solving

Education

High school diploma or equivalent

Tools

CAQH

Job description

*Description*
Prepare and submit enrollment and re-enrollment applications for healthcare providers to Medicare, Medicaid, and commercial insurance plans.
Maintain accurate and up-to-date provider records in internal databases and payer portals.
Track application statuses and follow up with payers to ensure timely processing.
Collaborate with providers and credentialing staff teams to gather required documentation and resolve discrepancies.
Monitor and manage re-credentialing and revalidation timelines to ensure continuous participation.
Respond to inquiries from providers and internal departments regarding enrollment status and requirements.
Assist with audits and reporting related to provider enrollment activities.
*Additional Skills & Qualifications*
High school diploma or equivalent required.
1-2 years of experience in provider enrollment or credentialing.
Strong understanding of Medicare, Medicaid, and commercial insurance enrollment processes.
Excellent organizational, communication, and problem-solving skills.
Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
Familiarity with CAQH
*Experience Level*
Intermediate Level
*Pay and Benefits*
The pay range for this position is $22.00 - $23.00/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:
* Medical, dental & vision
* Critical Illness, Accident, and Hospital
* 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
* Life Insurance (Voluntary Life & AD&D for the employee and dependents)
* Short and long-term disability
* Health Spending Account (HSA)
* Transportation benefits
* Employee Assistance Program
* Time Off/Leave (PTO, Vacation or Sick Leave)
*Workplace Type*
This is a fully remote position.
*Application Deadline*
This position is anticipated to close on Jul 4, 2025.
h4>About TEKsystems:


We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.


The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.


About TEKsystems and TEKsystems Global Services

We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.


The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.