Credentialing Coordinator

Confluent Health; United States; On-site; USD 38,000 - 52,000; Full time

Job summary

Confluent Health is seeking an entry-level Credentialing Coordinator to manage CAQH profiles for new and existing providers and to support credentialing operations. You will update demographic, education, training, and licensure data, upload documentation, and ensure records remain compliant and current.

The role requires strong attention to detail, reliable communication with providers, and the ability to learn new systems.

Qualifications

• High school diploma or equivalent required.
• Experience in healthcare administration or credentialing is helpful but not required.
• Strong attention to detail and commitment to data accuracy.
• Ability to organize and prioritize multiple providers, documents, and deadlines.
• Strong written and verbal communication skills.
• Ability to follow established procedures while escalating discrepancies.
• Proficient with Microsoft Office (Outlook, Excel, Word).
• Ability to learn new systems and navigate web-based applications.
• Ability to handle confidential and sensitive information appropriately.
• Dependable, responsive, and able to work independently and collaboratively.

Responsibilities

• Create and maintain CAQH profiles for newly hired providers.
• Review and update CAQH profiles for existing providers.
• Complete CAQH reattestations within required timeframes.
• Ensure provider demographic, education, training, employment, licensure, malpractice, disclosure, and practice-location information is accurate and current.
• Upload and maintain required supporting documentation, including licenses, certifications, professional liability insurance, continuing education records, and other credentialing documents.
• Monitor expiring credentials and proactively request updated documentation from providers or internal teams.
• Review CAQH profiles for missing, incomplete, or inconsistent information and resolve identified discrepancies.
• Communicate professionally with providers regarding outstanding information, required documentation, and upcoming deadlines.
• Track provider outreach and follow up regularly until all required information has been received.
• Maintain accurate records within internal credentialing systems, spreadsheets, and tracking tools.
• Protect confidential provider information and follow applicable privacy, security, and organizational requirements.
• Meet established productivity, quality, and turnaround-time expectations.
• Assist with credentialing audits, reporting, data cleanup, special projects, and other departmental initiatives as assigned.
• Provide general administrative support to the Credentialing and Provider Operations teams as needed.

Skills

Attention to detail

Data accuracy

Organizational skills

Written communication

Verbal communication

Time management

Confidential information handling

Education

High school diploma or equivalent

Tools

Microsoft Outlook

Microsoft Excel

Microsoft Word

Job description

Overview

Position Summary

The Credentialing Coordinator is an entry-level position responsible for maintaining accurate, complete, and current credentialing information for new and existing healthcare providers. The primary focus of this role is managing provider profiles within the Council for Affordable Quality Healthcare (CAQH) system, including initial profile setup, ongoing updates, reattestations, and document maintenance.

This position works closely with providers, internal credentialing teams, and other departments to obtain required information, resolve outstanding items, and ensure provider records remain compliant and up to date. The Credentialing Coordinator may also assist with additional credentialing, enrollment, and operational projects as assigned.

Responsibilities

Essential Duties and Responsibilities

• Create and maintain CAQH profiles for newly hired providers.
• Review and update CAQH profiles for existing providers.
• Complete CAQH reattestations within required timeframes.
• Ensure provider demographic, education, training, employment, licensure, malpractice, disclosure, and practice-location information is accurate and current.
• Upload and maintain required supporting documentation, including licenses, certifications, professional liability insurance, continuing education records, and other credentialing documents.
• Monitor expiring credentials and proactively request updated documentation from providers or internal teams.
• Review CAQH profiles for missing, incomplete, or inconsistent information and resolve identified discrepancies.
• Communicate professionally with providers regarding outstanding information, required documentation, and upcoming deadlines.
• Track provider outreach and follow up regularly until all required information has been received.
• Maintain accurate records within internal credentialing systems, spreadsheets, and tracking tools.
• Protect confidential provider information and follow applicable privacy, security, and organizational requirements.
• Meet established productivity, quality, and turnaround-time expectations.
• Assist with credentialing audits, reporting, data cleanup, special projects, and other departmental initiatives as assigned.
• Provide general administrative support to the Credentialing and Provider Operations teams as needed.

Qualifications

Qualifications

• High school diploma or equivalent required.
• Previous experience in healthcare administration, medical offices, credentialing, data entry, or a similar administrative role is helpful but not required.
• Strong attention to detail and commitment to data accuracy.
• Ability to organize and prioritize multiple providers, documents, and deadlines.
• Strong written and verbal communication skills.
• Ability to follow established procedures while recognizing and escalating discrepancies.
• Comfortable communicating with healthcare providers and internal business partners.
• Proficiency with Microsoft Office, including Outlook, Excel, and Word.
• Ability to learn new systems and navigate web-based applications.
• Ability to handle confidential and sensitive information appropriately.
• Dependable, responsive, and able to work both independently and collaboratively.

Preferred Qualifications

• Familiarity with CAQH ProView.
• Experience with provider credentialing, payer enrollment, medical staff services, or healthcare operations.
• Familiarity with healthcare provider documentation, including professional licenses, malpractice insurance, DEA registrations, board certifications, and work-history requirements.
• Experience using credentialing platforms, workflow systems, or shared tracking tools.

About

Confluent Health, LLC and its affiliates are equal opportunity employers committed to building a diverse and inclusive workforce. We do not discriminate based on race, color, religion, sex, sexual orientation, gender (including pregnancy, childbirth, or related medical conditions), gender identity or expression, national origin, marital status, age, disability, veteran status, or other applicable legally protected characteristics. If you need assistance or would like to request an accommodation due to a disability, please contact us at [e-mail].