Credentialing Coordinator – Healthcare Facilities Licensing

Pediatric Home Service, Inc.; Roseville (MN); Remote; USD 52,000 - 76,000; Full time

Benefits offered by this job

Generous Paid Time Off (PTO)

401k Matching

Tuition Reimbursement

Professional Development & Learning

Job summary

Pediatric Home Service, Inc. is hiring a Credentialing Coordinator to manage credentialing and recredentialing across facilities. You will verify licenses, certifications, inspections, and registrations while coordinating with payers and regulatory bodies.

The role supports remote work with eligibility for Minnesota or Kansas, and requires keen attention to detail, strong organization, and expertise in credentialing processes and HIPAA compliance.

Qualifications

• High school diploma or equivalent required; associate or bachelor’s preferred in healthcare admin or related field.
• Experience with credentialing, facility credentialing, payer enrollment, or healthcare administration is preferred.
• Knowledge of HIPAA, accreditation standards, and payer requirements is desirable.

Responsibilities

• Coordinate provider credentialing and recredentialing across locations to regulatory standards.
• Collect and verify licenses, certifications, and inspections for payer and regulatory needs.
• Submit Medicare/Medicaid enrollment applications accurately and timely.
• Track credential expirations and support audits and inquiries; maintain confidential data.

Skills

Organized

Detail oriented

Regulatory knowledge

HIPAA knowledge

Communication skills

Time management

Microsoft Office

Credentialing software

Education

High school diploma or equivalent

Associate or bachelor's degree in Healthcare Administration or related field

Tools

Credentialing software

CMS/Medicaid enrollment systems

Payer enrollment experience

Job description

About Pediatric Home Service

At Pediatric Home Service we help medically complex kids live their best lives at home with their families.

As a national leader in pediatric home care we offer a full range of services including infusion clinical nutrition respiratory therapy PPEC private duty nursing and DME.

Whether youre caring for patients or supporting behind the scenes every role at PHS makes a difference.

Join a mission driven team thats committed to putting children and families first.

Position Details

Position: Credentialing Coordinator

Compliance Facilities Licensing

Location: Remote Open to Minnesota or Kansas

Hours Monday Friday 800 AM 500 PM

Responsibilities

Position Detail Were looking for an organized and detail oriented Credentialing Coordinator to join our team In this role youll help manage the credentialing and recredentialing process for our facilities and locations ensuring information is accurate complete and compliant with applicable requirements Youll work closely with providers and internal teams to collect and verify documentation manage commercial Medicare and Medicaid enrollment applications track credential expirations and help keep the credentialing process moving forward for our entity locations This is a great opportunity for someone who enjoys staying organized solving problems and working across multiple priorities in a fast paced healthcare environment Coordinate provider credentialing and recredentialing processes in accordance with regulatory requirements and organizational standardsCollect review and verify facility documentation including licenses certifications inspections and revalidation for payer city county and state requirementsComplete and submit Medicare and Medicaid enrollment applications accurately and timely; Track license certification and credential expiration dates and help ensure timely renewalsServe as a primary point of contact for providers regarding credentialing status required documentation and outstanding itemsMaintain accurate provider and regulatory information within credentialing software files and tracking systemsCommunicate with state agencies licensing boards CMS and other external organizations to obtain or verify provider informationSupport credentialing related audits inquiries and requests for information; Partner with Real Estate Compliance and Clinical Operations to support a smooth credentialing experienceIdentify and help resolve credentialing issues in a timely and professional mannerPrepare and maintain reports related to credentialing status turnaround times and other key metricsMaintain confidentiality of provider information in accordance with HIPAA and organizational requirements

Qualifications

High school diploma or equivalent required; Associate or bachelors degree in Healthcare Administration Business or a related field preferredOne 1 year of experience in healthcare credentialing facility credentialing payer enrollment compliance or healthcare administrationExperience supporting credentialing or enrollment for healthcare facilities locations branches or organizations rather than solely individual provider credentialing preferredFamiliarity with healthcare regulatory requirements HIPAA accreditation standards and payer requirementsExperience working with CMS state Medicaid programs insurance payers licensing agencies or other regulatory entities preferredAbility to track multiple applications renewals licenses certifications deadlines and outstanding documentation simultaneouslyStrong attention to detail with the ability to identify missing or inconsistent information and follow items through to resolutionStrong written and verbal communication skills with the ability to work effectively with payers regulatory agencies internal leaders and operational teamsStrong organizational and time management skills with the ability to independently manage competing priorities in a remote fast paced environmentProficiency with Microsoft Office and experience with credentialing enrollment or healthcare management systems Preferred Facility credentialing and payer enrollment experience strongly preferredExperience credentialing or enrolling multiple healthcare locations facilities or branches across multiple statesExperience supporting credentialing audits renewals and regulatory requestsExperience within home healthcare DME pediatric healthcare Pediatric Prescribed Extended Care PPEC or another multi location healthcare organization

Benefits

• Generous Paid Time Off PTO for full time employees to support a healthy work life balance
• 401k Matching to help secure your future
• Tuition Reimbursement to support your educational and professional growth
• Professional Development & Learning Opportunities
• Health and Dental Insurance
• Short & Long Term Disability and Life Insurance

Equal Opportunity

Pediatric Home Service is an equal opportunity employer; we are committed to affirmative action and equal employment opportunities for all regardless of protected veteran status race color creed religion national origin sex sexual orientation or identity disability age marital status familial status membership or activity in a local human rights commission or status with regard to public assistance