Credentialing Coordinator - Work From Home

HCSC Group; Northern (KY); Hybrid; USD 42,000 - 93,000; Full time

Job summary

Health Care Service Corporation (HCSC) is seeking a Credentialing Coordinator for a remote position. You will credential or recredential providers for network participation and prepare materials for review by the medical director or credentialing committee.

You will monitor provider documentation for ongoing compliance and coordinate with internal teams to meet tight timelines while coaching and mentoring staff through processes.

Qualifications

• High school diploma or GED required.
• 3 years business experience.
• 1 year credentialing or quality audit experience.
• Clear and concise interpersonal, verbal and written communication skills for learning/mentoring.
• Experience with multi-tasking and adhering to tight timelines.
• Proficiency with Windows, Word, Excel, Access and related databases.
• Knowledge of Managed Care products, programs and services.

Responsibilities

• Credentialing or recredentialing providers for network participation.
• Present provider credentials to medical director or credentialing committee.
• Ensure documentation is current at committee determination.
• Monitor providers on an ongoing basis to ensure compliance and quality.

Skills

Interpersonal skills

Verbal communication

Written communication

Coaching & mentoring

Multi-tasking

Analytical thinking

Education

High school diploma or GED

Some college coursework in Business or Medical field

2 years college courses in Business or Medical field

Tools

Windows

Word

Excel

Access

Adobe

PowerPoint

Job description

## Credentialing Coordinator - Work From HomeApply: Remote: TN - Nashville: MT - Helena: NM - Albuquerque: OK - Tulsa: IL - Chicago: Posted Today: End Date: September 24, 2026 (7 days left to apply): R0055698At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.Join HCSC and be part of a purpose-driven company that will invest in your professional development.# # **Job Summary**### This position is responsible for ensuring professional and facility providers applying for initial or ongoing network participation are credentialed or recredentialed in a timely and appropriate manner for presentation to the medical director and/or credentialing committee. This position will also ensure documentation for those providers approved for network participation is current at time of the committee determination. This person will also be responsible for ongoing monitoring of providers.### JOB REQUIREMENTS:* High school diploma or GED.* 3 years business experience. A combination of college level education and experience will be considered* 1 year Credentialing OR Quality audit experience* Clear and concise interpersonal, verbal and written communication skills to facilitate the learning process; coaching and mentoring skills* Experience with multi-tasking and adhering to tight timelines.* PC experience in Windows, Word, Excel, Access, and other business related/associated databases.* Demonstrated analytical and organizational skills* Knowledge of Managed Care products, programs, and services.PREFERRED JOB EXPERIENCE:* Previous experience in oversight of credentialing/credentialing committee - HIGHLY PREFERRED* 2 years of college courses in Business or Medical field.* Project Management experience.* Knowledge of Microsoft Suite tools (Windows, Word, Excel, Access, Adobe, PowerPoint, etc)Sponsorship will not be provided for this role.This is a Telecommute (Remote) role.#LI-LI1#LI-Remote### **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!**### **Pay Transparency Statement:**At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.## HCSC Employment Statement:We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.# # **Base Pay Range**$41,700.00 - $92,800.00