Credentialing & Enrollment Coordinator

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

Job summary

PAM Health in Enola, PA is seeking a Credentialing Support Specialist to assist with credentialing and re-credentialing materials for managed care organizations and to provide evidence of fully qualified facilities across PAM Health’s Rehabilitation Hospitals, LTACs and Psychiatric Hospitals.

This in-office role supports approximately 72 post-acute centers across 18 states, reports to the Administrator Managed Care Credentialing, and requires meticulous data management and strong communication

Qualifications

• Two or more years of experience in healthcare enrollment or credentialing.
• Experience with high-volume data collection and stakeholder communication.
• Strong attention to detail and data management capabilities.
• Proficient in MS 365 (Excel, Word, Outlook, PowerPoint) and PDF editing.

Responsibilities

• Complete credentialing and re-credentialing applications with renewals 60 days prior to expiration.
• Maintain records of credentialing communications, submissions and approvals.
• Proactively communicate with payors to ensure end-to-end credentialing cycles.
• Verify/audit provider directory information within payor databases.
• Audit internal credentialing databases.
• Coordinate when facilities present overdue credentialing for recredentialing.
• Support communications efforts that accelerate credentialing.
• Prepare rosters for submission to payors.
• Coordinate with Administrator Managed Care Credentialing to collect, verify, and organize necessary documentation.
• Troubleshoot and resolve issues hindering timely participation with plans.
• Help understand recredentialing 3-year time frames and anticipate needs.

Skills

Data management

MS 365

Multitasking

Communication skills

Time management

Confidentiality

Teamwork

Education

Associate degree

HS diploma

PESC certificate

Tools

PDF editing

Job description

PAM Health in Enola, PA is seeking a Credentialing Support Specialist to assist with credentialing and re-credentialing materials for managed care organizations and to provide evidence of fully qualified facilities across PAM Health’s Rehabilitation Hospitals, LTACs and Psychiatric Hospitals.

This in-office role supports approximately 72 post-acute centers across 18 states, reports to the Administrator Managed Care Credentialing, and requires meticulous data management and strong communication