Credentialing Coordinator

American Oncology Partners, PA; United States; Remote; USD 22,000 - 41,000; Full time

Benefits offered by this job

Flexible hours

Remote work options

401k match

Paid time off

Job summary

American Oncology Network is seeking a Credentialing & Provider Enrollment Specialist to manage credentialing applications and keep provider records up to date. The role supports onboarding and network participation across multiple sites in a remote work environment.

The ideal candidate has at least 2 years of credentialing experience, strong analytical and communication skills, and proficiency with credentialing software. Flexible hours and comprehensive benefits are offered.

Qualifications

• High school diploma or GED required.

Responsibilities

• Coordinate and process initial credentialing, re-credentialing, enrollment, reenrollment, provider updates, and reappointments with commercial payers, government agencies, hospitals, and licensing entities.
• Maintain accurate provider records within credentialing systems, CAQH, payer portals, and related databases.
• Serve as the primary credentialing contact for assigned providers, payers, hospitals, and internal departments.
• Research, investigate, and resolve credentialing, enrollment, provider participation, and demographic discrepancies to minimize delays.
• Generate credentialing status reports, aging reports, productivity metrics, and other operational reports.
• Support organizational financial objectives by ensuring efficient credentialing operations and adherence to budget and purchasing practices.

Skills

Analytical skills

Communication

Organizational skills

Problem solving

Attention to detail

Microsoft Office

Credentialing software

Education

High school diploma or GED

Tools

Credentialing software

Provider databases

Credentialing workflows

Job description

Location: Remote Position Hiring Range: $16.00 - $30.21

POSITION SUMMARY Processes credentialing and re-credentialing applications of health care practitioners/providers. Monitors Credentialing group inbox to ensure all emails are addressed. Researches and solves participation issues as they arise. Supports the financial goals of the company by being fiscally responsible in all areas, including staffing and purchasing.

KPA 1 – Credentialing & Provider Enrollment Management Coordinate and process initial credentialing, re-credentialing, enrollment, reenrollment, provider updates, and reappointments with commercial payers, government agencies, hospitals, and licensing entities. Prepare, review, and submit credentialing applications accurately, ensuring completeness and compliance with payer, regulatory, accreditation, and organizational requirements. Manage provider participation to support timely onboarding and uninterrupted network participation.

KPA 2 – Provider Data Integrity & Compliance Maintain accurate provider records within credentialing systems, CAQH, payer portals, and related databases. Obtain, verify, and maintain all required credentialing documentation, including licenses, certifications, board certifications, malpractice coverage, DEA registrations, and curriculum vitae. Monitor licensure, certifications, insurance, and credential expiration dates to ensure continuous compliance and prevent lapses in participation. Maintain audit-ready files and support accreditation surveys, delegated credentialing activities, and regulatory compliance reviews.

KPA 3 – Credentialing Coordination & Stakeholder Support Serve as the primary credentialing contact for assigned providers, payers, hospitals, and internal departments. Monitor application progress, confirm receipt and submission, and proactively follow up with external organizations to meet established turnaround times. Collaborate with Provider Relations, Operations, Revenue Cycle, Billing, Compliance, and leadership to support provider onboarding and operational readiness. Monitor the Credentialing team inbox to ensure timely response to provider, payer, and internal inquiries.

KPA 4 – Issue Resolution & Operational Support Research, investigate, and resolve credentialing, enrollment, provider participation, and demographic discrepancies to minimize delays. Escalate credentialing issues, denials, missing documentation, provider non-responsiveness, and other risks impacting participation or reimbursement. Support departmental initiatives and perform additional credentialing and provider data management responsibilities as assigned.

KPA 5 – Reporting, Performance & Process Improvement Maintain complete documentation of credentialing activities and communications within designated tracking systems. Generate credentialing status reports, aging reports, productivity metrics, and other operational reports. Prioritize a high-volume workload while meeting quality, productivity, and turnaround standards. Participate in workflow improvements, departmental projects, and process enhancement initiatives to improve efficiency and service delivery. Maintain current knowledge of credentialing standards, payer requirements, regulatory updates, and industry best practices.

KPA 6 – Financial Stewardship Support organizational financial objectives by ensuring efficient credentialing operations that minimize reimbursement delays and provider participation interruptions. Demonstrate fiscal responsibility through effective resource utilization and adherence to departmental budget and purchasing practices.

Position Qualifications Education High school diploma or GED required.

Minimum Relevant Experience Minimum of 2 years of credentialing experience with a strong working knowledge of provider credentialing, enrollment, and recredentialing processes preferred.

Certifications/Licenses Valid state driver's license required for travel to satellite offices and off-site meetings. Must meet requirements of the organization's Driver Safety Operations and Motor Vehicle Records Check Policy.

Skills Strong analytical, critical thinking, problem-solving, decision-making, planning, organizational, and time management skills. High attention to detail with the ability to exercise sound independent judgment. Excellent interpersonal skills, emotional intelligence, diplomacy, tact, conflict resolution, and professionalism. Ability to maintain confidentiality and effectively manage sensitive information. Strong verbal and written communication skills with the ability to communicate effectively across all levels of the organization. Customer-focused with the ability to build collaborative relationships with providers, leadership, and cross-functional teams. Demonstrated ability to prioritize multiple assignments and manage competing deadlines in a fast-paced, multi-site environment. Self-motivated with the ability to work independently and effectively with limited supervision, including in a remote work environment when required. Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, and Outlook). Working knowledge of credentialing software, provider databases, and credentialing workflows preferred. Ability to adapt to changing priorities while maintaining quality, accuracy, and operational efficiency.

Travel: 0-25%

Expectations for All Employees This position description reflects the general duties and responsibilities necessary to perform the principal functions of the job, as identified, and shall not be considered an exhaustive list of job responsibilities which may be inherent in the job.

The requirements listed are representative of the knowledge, skill, and/or ability required. The responsibilities listed may be subject to change at any time and individuals may be asked to perform duties outside of their regular responsibilities to support the ongoing business operation needs.

Americans with Disabilities Act (ADA) Compliance The essential functions described herein are intended to define the fundamental duties of the position and serve as the minimum requirements for performance. They do not represent an exhaustive list of all job duties that may be required. AON complies with the Americans with Disabilities Act (ADA) and applicable state and local laws. The Company will engage in an interactive process to evaluate and, where appropriate, provide reasonable accommodations to qualified individuals with disabilities, provided such accommodations do not impose an undue hardship on the business.

Physical Requirements Sitting Keyboard use Minimal lifting Long screen exposure

Cognitive Requirements Time management Effective written/verbal communication Policy interpretation

Environmental Requirements Home office setup Minimal external environmental exposure

Accommodation Notes Flexible hours Ergonomic home office guidance Communication software accessibility

Standard Work Days/Hours (specify weekends and call requirements): Monday to Friday 8:00 AM – 5:00 PM.

#LI-REMOTE American Oncology Network AON is an alliance of physicians and veteran healthcare leaders dedicated to ensuring the long-term success and viability of oncology diagnosis and treatment in community-based settings. It is the fastest growing national network of community oncology practices delivering local access to exceptional cancer care. AON serves its expanding network of partner practices by providing proven practice management expertise. Our employees across the country work together to empower physicians to make cancer care better. By driving integrated, collaborative care, we are proudly helping community oncologists deliver the highest quality care to every patient.

Cancer touches everyone. Being able to make a difference in the lives of those fighting this disease is something our employees at AON cherish and never take for granted. A career in oncology offers all sorts of rewards. But working at AON offers employees more than most. As a fast-growing national company, the opportunity to join a national workforce with flexible work options is available. We offer competitive compensation packages that include comprehensive health insurance with a robust provider network. Our 401k, which offers a 100% match and investment options, is available to full-time and part-time staff members, and we feature a generous Paid Time Off (PTO) program.

At AON, we offer you more than a job, we offer you a career. As a network of independent oncology practices working together as one, we host annual summits each year, providing our employees a chance to collaborate with AON peers from across the country. Promoting from within is a priority at AON, and we support our team members continued growth through professional development programs and tuition assistance.