Credentialing Coordinator: Accelerate Provider Onboarding

Jobtailor; Enola (PA); On-site; USD 42,000 - 64,000; Full time

Job summary

Jobtailor is seeking an Credentialing Coordinator in Pennsylvania to manage credentialing and re-credentialing applications, track renewals, and coordinate with payors and facilities. You will maintain records, verify provider information, and ensure timely participation in credentialing cycles.

The role requires 2+ years in healthcare enrollment or credentialing, strong MS 365 skills, and excellent communication.

Qualifications

• 2+ years of experience in healthcare enrollment, credentialing, or medical practice operations.
• Experience with high-volume data collection and stakeholder communication.
• Proficiency with MS 365 applications and PDF editing.
• Ability to multitask across multiple markets and facilities.
• Knowledge of credentialing concepts and primary source verifications.
• PESC certificate a plus.

Responsibilities

• Complete credentialing and re-credentialing applications, tracking and initiating renewals at least 60 days before expiration.
• Maintain records of credentialing communications, submissions, and approvals.
• Communicate proactively with payors throughout credentialing cycles.
• Verify and audit provider directory information in payor databases.
• Audit internal credentialing databases.
• Coordinate urgently with facilities to complete overdue re-credentialing requirements.
• Support internal and external communications that accelerate the credentialing process.
• Prepare rosters for submission to payors.
• Collect, verify, and organize documentation for applications with the Administrator Managed Care Credentialing.
• Troubleshoot and resolve issues hindering timely plan participation.
• Anticipate three-year re-credentialing requirements and support timely completion.
• Provide administrative and project support to the Managed Care Department.
• Support the Managed Care Team and PAM Health facilities with credentialing follow-up.
• Promote PAM Health's mission and vision.
• Maintain confidentiality and comply with applicable policies and procedures.

Skills

High-Volume Data Collection

MS 365 Proficiency

Professional Communication

Multitasking

Attention to Detail

Education

Associate's Degree in Health or Business Administration

High School diploma or GED

Tools

MS Excel

MS Word

MS Outlook

MS PowerPoint

PDF Editing Software

Provider Directory Verification

Primary Source Verification

Job description

Jobtailor is seeking an Credentialing Coordinator in Pennsylvania to manage credentialing and re-credentialing applications, track renewals, and coordinate with payors and facilities. You will maintain records, verify provider information, and ensure timely participation in credentialing cycles.

The role requires 2+ years in healthcare enrollment or credentialing, strong MS 365 skills, and excellent communication.